Healthcare Provider Details

I. General information

NPI: 1154069532
Provider Name (Legal Business Name): MEGAN JEANNE BERRY LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN JEANNE SCHUELER

II. Dates (important events)

Enumeration Date: 05/25/2022
Last Update Date: 05/25/2022
Certification Date: 05/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5840 INTERFACE DR STE 400
ANN ARBOR MI
48103-9176
US

IV. Provider business mailing address

1904 WHITTIER RD
YPSILANTI MI
48197-1729
US

V. Phone/Fax

Practice location:
  • Phone: 734-627-8001
  • Fax:
Mailing address:
  • Phone: 260-223-1385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: