Provider Demographics
NPI:1841605839
Name:MUNSCHE, HEATHER (LLP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:MUNSCHE
Suffix:
Gender:F
Credentials:LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 W CROSS ST
Mailing Address - Street 2:APT 6
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-2759
Mailing Address - Country:US
Mailing Address - Phone:248-962-3538
Mailing Address - Fax:
Practice Address - Street 1:2725 PACKARD ST
Practice Address - Street 2:STE 101
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-3318
Practice Address - Country:US
Practice Address - Phone:734-677-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist