Individual
MRS. RENEE MARY OURADNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP- LIMITED LICENSE
Contact information
Practice address
2001 N LINCOLN RD RM CB230, ESCANABA, MI 49829-2510
(906) 786-4797
(906) 786-6762
Mailing address
2920 COLLEGE AVE, ESCANABA, MI 49829-9597
(906) 786-4797
(906) 786-6762
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361005743
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11255985
CAQH #
MI
01
—
6361005743
MICHIGAN BOARD OF PSYCHOLOGY
MI
Enumeration date
01/23/2006
Last updated
12/24/2025
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