Doctor Name: | KYRRA A SPRINGER |
NPI Number: | 1063538049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6802085842 |
Business Practice Address: | 2045 E West Maple Rd D405 Commerce Township, MI - 483903801 |
Business Phone Number: | 2486680922 |
Business Fax Number: | 2486680924 |
Mailing Address: | 3046 Signature Blvd, Apt A ANN ARBOR |
State: | MI |
Postal Code: | 481036916 |
Phone Number: | 2486680922 |
Fax Number: | 2486680924 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6802085842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |