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NPI Code Detail

MEDICARE: MS. MICHELLE ELIZABETH THORPE

MEDICARE:  MS. MICHELLE ELIZABETH THORPE
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
1106S00000XBehavior Technician
2101YP2500XProfessional Counselor1801015723IL

General Provider Information

NPI Number : 1417450719
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE ELIZABETH THORPE
Provider Business Mailing Address
First Line : 1126 LARIAT LOOP
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-2815
Country : US
Telephone Number : 248-410-5672
Fax Number :
Provider Business Practice Location Address
First Line : 2475 ASHFORD
Second Line :
City : ROCHESTER HLS
State : MI
Zip : 48306-3150
Country : US
Telephone Number : 248-410-5672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2018
Last Update Date : 03/29/2024

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Directions to “ MS. MICHELLE ELIZABETH THORPE ” Practice Location

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