Individual
DR. MICHAEL J RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
150 MUNDY ST, WILKES BARRE, PA 18702-6830
(570) 826-3771
(570) 830-8917
Mailing address
150 MUNDY ST, WILKES BARRE, PA 18702-6830
(570) 826-3771
(570) 830-8917
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00252900
NJ
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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