Provider Demographics
NPI:1508984048
Name:CALDWELL, ANNE MARIE (MS, LLP)
Entity Type:Individual
Prefix:MS
First Name:ANNE MARIE
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:MS, LLP
Other - Prefix:
Other - First Name:ANNE MARIE
Other - Middle Name:
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LLP
Mailing Address - Street 1:409 PLYMOUTH RD STE 270
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1842
Mailing Address - Country:US
Mailing Address - Phone:248-444-5479
Mailing Address - Fax:
Practice Address - Street 1:409 PLYMOUTH RD STE 270
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1842
Practice Address - Country:US
Practice Address - Phone:484-445-4792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6361001920103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist