Provider Demographics
NPI:1336644707
Name:MICHAELS, ANNE FRENCH (PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:FRENCH
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4303 MEADOWCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ARM
Mailing Address - State:MD
Mailing Address - Zip Code:21057-9534
Mailing Address - Country:US
Mailing Address - Phone:410-440-4152
Mailing Address - Fax:
Practice Address - Street 1:4303 MEADOWCLIFF RD
Practice Address - Street 2:
Practice Address - City:GLEN ARM
Practice Address - State:MD
Practice Address - Zip Code:21057-9534
Practice Address - Country:US
Practice Address - Phone:410-440-4152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03703103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist