Doctor Name: | MRS. ADRIANNE GUENTHER CLARKE |
NPI Number: | 1023312857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | TLLP |
License Number: | |
Business Practice Address: | 2900 Packard Rd Ste 1 Ypsilanti, MI - 481972061 |
Business Phone Number: | 7345289703 |
Business Fax Number: | 7345728866 |
Mailing Address: | 2900 Packard Rd Ste 1, YPSILANTI |
State: | MI |
Postal Code: | 481972061 |
Phone Number: | 7345289703 |
Fax Number: | 7345728866 |
NPI Enumeration Date: | 01/10/2011 |
NPI Last Update Date: | 01/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |