Provider Demographics
NPI:1538742531
Name:INSCO, RICHARD CARL (MS)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:CARL
Last Name:INSCO
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27705 RONEY AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48183-4862
Mailing Address - Country:US
Mailing Address - Phone:734-771-8908
Mailing Address - Fax:
Practice Address - Street 1:27705 RONEY AVE
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN TWP
Practice Address - State:MI
Practice Address - Zip Code:48183-4862
Practice Address - Country:US
Practice Address - Phone:734-771-8908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401017297101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health