Healthcare Provider Details

I. General information

NPI: 1871386656
Provider Name (Legal Business Name): CEDERNA CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 VICTORS WAY STE 175
ANN ARBOR MI
48108-5224
US

IV. Provider business mailing address

900 VICTORS WAY STE 175
ANN ARBOR MI
48108-5224
US

V. Phone/Fax

Practice location:
  • Phone: 734-968-2801
  • Fax:
Mailing address:
  • Phone: 734-968-2801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CRYSTAL LINNEA CEDERNA
Title or Position: MEMBER, OWNER
Credential: PSYD
Phone: 734-968-2801