Provider Demographics
NPI:1346665627
Name:BIRGENHEIR, DENIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:DENIS
Middle Name:
Last Name:BIRGENHEIR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 ADDINGTON LN
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-8945
Mailing Address - Country:US
Mailing Address - Phone:605-391-4587
Mailing Address - Fax:
Practice Address - Street 1:823 ADDINGTON LN
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-8945
Practice Address - Country:US
Practice Address - Phone:605-391-4587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301015387103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical