Healthcare Provider Details

I. General information

NPI: 1962338699
Provider Name (Legal Business Name): KRISTIE WYLER THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 WASHTENAW AVE STE 282
ANN ARBOR MI
48104-5184
US

IV. Provider business mailing address

3300 WASHTENAW AVE STE 282
ANN ARBOR MI
48104-5184
US

V. Phone/Fax

Practice location:
  • Phone: 734-564-2843
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: KRISTIE WYLER
Title or Position: OWNER
Credential: LLP
Phone: 734-748-5886