Provider Demographics
NPI:1952645921
Name:ANN ARBOR DEAF PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:ANN ARBOR DEAF PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHALEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-274-9943
Mailing Address - Street 1:1337 ARDMOOR AVE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-5347
Mailing Address - Country:US
Mailing Address - Phone:734-274-9943
Mailing Address - Fax:
Practice Address - Street 1:1337 ARDMOOR AVE
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-5347
Practice Address - Country:US
Practice Address - Phone:734-274-9943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty