Organization Name: | MARY K ANDERSON PHD PLLC |
NPI Number: | 1003094178 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY KATHRYN ANDERSON (PSYCHOLOGIST/MANAGER) |
Mailing Address: | 111 N 1st St Ste 1 Ann Arbor |
State: | MI US |
Postal Code: | 481041397 |
Phone Number: | 7343275934 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2008 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | 6301008873 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |