Individual
MR. RICKY LEE JENTONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MALLP
Contact information
Practice address
18181 OAKWOOD BLVD, 311, DEARBORN, MI 48124-5032
(313) 271-8170
(313) 271-8353
Mailing address
18181 OAKWOOD BLVD, 311, DEARBORN, MI 48124-5032
(313) 271-8170
(313) 271-8353
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6301005971
MI
103TC0700X
Clinical Psychologist
Primary
6301005971
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N15280
APEX BEHAVIORAL HEALTH P.L.L.C. MEDICARE GROUP PIN NO.
MI
01
—
6301005971
LICENSE
MI
Enumeration date
10/15/2007
Last updated
05/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us