Organization
JENNIFER TANG PHD AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER TANG PHD (OWNER)
(734) 219-9260
Entity
Organization
Contact information
Practice address
2301 S HURON PKWY STE 1D, ANN ARBOR, MI 48104-5133
(734) 219-9260
Mailing address
2301 S HURON PKWY STE 1D, ANN ARBOR, MI 48104-5133
(734) 219-9260
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
6301015972
MI
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
01/22/2018
Last updated
09/03/2021
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