Healthcare Provider Details

I. General information

NPI: 1548553142
Provider Name (Legal Business Name): BARBARA K TAPLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2011
Last Update Date: 05/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 PACKARD ROAD, SUITE 102
ANN ARBOR MI
48108-0000
US

IV. Provider business mailing address

190 ISLAND LAKE ROAD
CHELSEA MI
48118-0000
US

V. Phone/Fax

Practice location:
  • Phone: 734-216-1603
  • Fax:
Mailing address:
  • Phone: 734-216-1603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6301008579
License Number StateMI

VIII. Authorized Official

Name: BARBARA K TAPLEY
Title or Position: OWNER
Credential:
Phone: 734-216-1603