Provider Demographics
NPI:1972187714
Name:MICHIGAN WOMEN'S PSYCHOLOGY SERVICES
Entity Type:Organization
Organization Name:MICHIGAN WOMEN'S PSYCHOLOGY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASTER OF SOCIAL WORK
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:MARIANNA
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-494-2092
Mailing Address - Street 1:3035 12TH ST
Mailing Address - Street 2:
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192-5605
Mailing Address - Country:US
Mailing Address - Phone:734-558-0782
Mailing Address - Fax:
Practice Address - Street 1:18518 OUTER DR
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48128-1874
Practice Address - Country:US
Practice Address - Phone:734-494-2092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty