Organization
UNIVERSITY OF MICHIGAN PSYCHOLOGICAL CLINIC
Active
Parent organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Other names
The Psychological Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MICHIGAN
Authorized official
MEAGJAN FESLER M.S. , LLP (CLINIC AND OPERATIONS MANAGER)
(734) 764-2961
Entity
Organization
Contact information
Practice address
210 S 5TH AVE, ANN ARBOR, MI 48104
(734) 615-7853
(734) 764-8128
Mailing address
210 S 5TH AVE, ANN ARBOR, MI 48104
(734) 615-7853
(734) 764-8128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518065986
NPPES
MI
Enumeration date
03/21/2008
Last updated
07/25/2024
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