Healthcare Provider Details

I. General information

NPI: 1770406316
Provider Name (Legal Business Name): MARY KATHRYN KORTE-TURNBULL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2559 LONDONDERRY RD
ANN ARBOR MI
48104-4017
US

IV. Provider business mailing address

2559 LONDONDERRY RD
ANN ARBOR MI
48104-4017
US

V. Phone/Fax

Practice location:
  • Phone: 734-417-8870
  • Fax:
Mailing address:
  • Phone: 734-417-8870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. MARY KATHRYN KORTE-TURNBULL
Title or Position: SOLE MEMBER AUTHORIZED OFFICIAL
Credential: LCSW
Phone: 734-417-8870