Healthcare Provider Details

I. General information

NPI: 1255734281
Provider Name (Legal Business Name): ERIN BUERSCHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2014
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 STAR BATT DR
ROCHESTER HILLS MI
48309-3709
US

IV. Provider business mailing address

1880 STAR BATT DR
ROCHESTER HILLS MI
48309-3709
US

V. Phone/Fax

Practice location:
  • Phone: 487-625-2952
  • Fax:
Mailing address:
  • Phone: 248-762-5295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6361007323
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: