Provider Demographics
NPI:1952326837
Name:UNIVERSITY OF MICHIGAN-UNIVERSITY CENTER FOR THE CHILD AND FAMILY
Entity type:Organization
Organization Name:UNIVERSITY OF MICHIGAN-UNIVERSITY CENTER FOR THE CHILD AND FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC AND OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FESLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LLP
Authorized Official - Phone:734-764-2961
Mailing Address - Street 1:210 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104
Mailing Address - Country:US
Mailing Address - Phone:734-615-7853
Mailing Address - Fax:734-764-8128
Practice Address - Street 1:210 5TH AVE
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104
Practice Address - Country:US
Practice Address - Phone:734-615-7853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty