Provider Demographics
NPI:1841302676
Name:VOELKER, SYLVIA LEAH (PHD)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:LEAH
Last Name:VOELKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21380 VIRMAR COURT
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4953
Mailing Address - Country:US
Mailing Address - Phone:248-594-5739
Mailing Address - Fax:248-594-5739
Practice Address - Street 1:21380 VIRMAR COURT
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:MI
Practice Address - Zip Code:48025-4953
Practice Address - Country:US
Practice Address - Phone:248-594-5739
Practice Address - Fax:248-594-5739
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301002816103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI68-0-E0-4584-0OtherBCBSM PIN