Provider Demographics
NPI:1154494722
Name:ORTHMEYER, TRESSA LYNNE (MS, CGC)
Entity Type:Individual
Prefix:
First Name:TRESSA
Middle Name:LYNNE
Last Name:ORTHMEYER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 IRVING AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-2880
Mailing Address - Country:US
Mailing Address - Phone:248-546-4896
Mailing Address - Fax:
Practice Address - Street 1:3750 WOODWARD AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2007
Practice Address - Country:US
Practice Address - Phone:313-993-4433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS