Healthcare Provider Details

I. General information

NPI: 1346417797
Provider Name (Legal Business Name): BIRGIT AMANN M D P L L C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1639 E BIG BEAVER RD SUITE 201
TROY MI
48083-2053
US

IV. Provider business mailing address

1639 E BIG BEAVER RD SUITE 201
TROY MI
48083-2053
US

V. Phone/Fax

Practice location:
  • Phone: 248-764-8440
  • Fax:
Mailing address:
  • Phone: 248-764-8440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BIRGIT HELMLE AMANN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 248-764-8440