Healthcare Provider Details

I. General information

NPI: 1295201788
Provider Name (Legal Business Name): WHITNEY MORGAN SOMMERVILLE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 FULLER RD
ANN ARBOR MI
48105-2303
US

IV. Provider business mailing address

7177 MAPLELAWN DR
YPSILANTI MI
48197-1764
US

V. Phone/Fax

Practice location:
  • Phone: 734-769-7100
  • Fax:
Mailing address:
  • Phone: 937-838-5538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147.001690
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: