Provider Demographics
NPI:1104053206
Name:RIEHL, SARAH BETH (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:BETH
Last Name:RIEHL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:BETN
Other - Last Name:RIEHL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:MICHIGAN MENTAL WELLNESS
Mailing Address - Street 2:37935 W 12 MILE ROAD STE A
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331
Mailing Address - Country:US
Mailing Address - Phone:248-987-4877
Mailing Address - Fax:248-987-2159
Practice Address - Street 1:37935 W 12 MILE RD STE A
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331
Practice Address - Country:US
Practice Address - Phone:248-987-4877
Practice Address - Fax:248-987-2159
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MI4301094752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program