Healthcare Provider Details

I. General information

NPI: 1497639819
Provider Name (Legal Business Name): XINLING LIU
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2962 BIRCH HOLLOW DR APT 2A
ANN ARBOR MI
48108-2331
US

IV. Provider business mailing address

RANK LLOYD WRIGHT DRIVE OFFICE 4157
ANN ARBOR MI
48105
US

V. Phone/Fax

Practice location:
  • Phone: 573-639-1649
  • Fax:
Mailing address:
  • Phone: 313-288-0679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301019505
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: