Individual
NATALIE KOINES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E WASHINGTON ST STE 100, ANN ARBOR, MI 48104-2057
(734) 764-3471
Mailing address
500 E WASHINGTON ST STE 100, ANN ARBOR, MI 48104-2057
(734) 764-3471
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
390200000X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
CLINICAL PSYCHOLOGIST
—
Enumeration date
07/02/2018
Last updated
07/02/2018
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