MEDICARE: ANNE DOHRENWEND, PHD, ABPP, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6301010100	MI

General Provider Information

NPI Number	:	1225539794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNE DOHRENWEND, PHD, ABPP, PLLC

Provider Business Mailing Address
First Line	:	904 SPRING ST
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-3243
Country	:	US
Telephone Number	:	734-657-9034
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 E WASHINGTON ST STE 606
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-2012
Country	:	US
Telephone Number	:	734-657-9034
Fax Number	:

Authorized Official
Title or Position	:	SOLO PRACTICE OWNER
Name	:	DR. ANNE M DOHRENWEND
Credential	:	PHD, ABPP
Telephone Number	:	734-657-9034

Provider Enumeration Date	:	02/21/2018
Last Update Date	:	02/21/2018

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