Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Athaliah Ingram

Individual provider Clinical Psychologist · NPI 1518636364

Athaliah Ingram is a Clinical Psychologist in Troy, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

1777 Axtell Dr Ste 100
Troy, MI 48084-4400
Phone: (248) 787-0855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6362009351 (MI)

Record details

NPI number1518636364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2021
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021
Mailing address596 Marquette Dr, Detroit, MI 48214-3640

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