Healthcare Provider Details

I. General information

NPI: 1841605839
Provider Name (Legal Business Name): HEATHER MUNSCHE LLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2014
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34025 HARPER AVE
CLINTON TWP MI
48035-3737
US

IV. Provider business mailing address

3304 MAPLE DR
YPSILANTI MI
48197-3740
US

V. Phone/Fax

Practice location:
  • Phone: 586-445-9900
  • Fax:
Mailing address:
  • Phone: 248-962-3538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: