IndividualActive
Fred Durham
NPI 1003631433 · Cognitive & Behavioral Psychologist · Taylor, MI
Provider details
- NPI number
- 1003631433
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 6851118945 (MI)
Mailing address
50216 Paine St
Canton, MI 48188-3332
Registry dates
- Enumerated
- 2024-11-20
- Last updated
- 2024-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.