Healthcare Provider Details

I. General information

NPI: 1972456671
Provider Name (Legal Business Name): REBECCA SEIDEMANN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E LIBERTY ST STE 310
ANN ARBOR MI
48104-2181
US

IV. Provider business mailing address

1808 DEXTER AVE APT 1
ANN ARBOR MI
48103-4010
US

V. Phone/Fax

Practice location:
  • Phone: 734-328-2192
  • Fax:
Mailing address:
  • Phone: 734-328-2192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REBECCA R SEIDEMANN
Title or Position: SOCIAL WORKER
Credential:
Phone: 734-328-2192