Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 4361 | OH |
Y | 103TC0700X | Clinical Psychologist | 4361 | OH |
N | 102L00000X | Psychologist | 4631 | OH |
N | 103T00000X | Psychologist | 4631 | OH |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 4631 | OH |
N | 103G00000X | Clinical Psychologist | 4631 | OH |
N | 103TC0700X | Clinical Psychologist | 4631 | OH |
N | 103TF0000X | Family Psychologist | 4631 | OH |
N | 103TF0200X | Forensic Psychologist | 4631 | OH |
N | 103TH0004X | Health Psychologist | 4631 | OH |
N | 103TH0100X | Health Service | 4631 | OH |
N | 103TR0400X | Rehabilitation Psychologist | 4631 | OH |
NPI | 1376758565 |
---|---|
Provider Name | Dr. Mychail B Scheramic |
First Address | Perrysburg, OH 43551-1470 |
Second Address | Maumee, OH 43537 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 15/07/2016 |