Provider Demographics
NPI:1952513350
Name:APPERSON, JEAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:
Last Name:APPERSON
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 1:7224 MI STATE ROAD 52
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48158-9443
Mailing Address - Country:US
Mailing Address - Phone:734-428-9110
Mailing Address - Fax:734-428-9150
Practice Address - Street 1:555 E WILLIAM ST
Practice Address - Street 2:SUITE 23-E
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2441
Practice Address - Country:US
Practice Address - Phone:734-665-0464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301001579103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist