Healthcare Provider Details

I. General information

NPI: 1952326837
Provider Name (Legal Business Name): UNIVERSITY OF MICHIGAN-UNIVERSITY CENTER FOR THE CHILD AND FAMILY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 07/25/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 5TH AVE
ANN ARBOR MI
48104
US

IV. Provider business mailing address

210 5TH AVE
ANN ARBOR MI
48104
US

V. Phone/Fax

Practice location:
  • Phone: 734-615-7853
  • Fax:
Mailing address:
  • Phone: 734-615-7853
  • Fax: 734-764-8128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MEAGHAN FESLER
Title or Position: CLINIC AND OPERATIONS MANAGER
Credential: M.S., LLP
Phone: 734-764-2961