Healthcare Provider Details

I. General information

NPI: 1043685365
Provider Name (Legal Business Name): HAJR AMANI MUHAMMAD PHD, DLLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2015
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 W LIBERTY ST
ANN ARBOR MI
48103-6560
US

IV. Provider business mailing address

2610 W LIBERTY ST
ANN ARBOR MI
48103-6560
US

V. Phone/Fax

Practice location:
  • Phone: 734-368-9691
  • Fax: 313-831-2608
Mailing address:
  • Phone: 734-368-9691
  • Fax: 833-633-6171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6351004972
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: