MEDICARE: ANNA SOFEN PSYD

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	071009130	IL
2	103TC0700X	Clinical Psychologist	28131	CA
3	103TC0700X	Clinical Psychologist	6301017114	MI

General Provider Information

NPI Number	:	1548630585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA SOFEN PSYD

Provider Business Mailing Address
First Line	:	261 E MAPLE RD # 207
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-6324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	261 E MAPLE RD # 207
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-6324
Country	:	US
Telephone Number	:	248-671-4488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2015
Last Update Date	:	03/26/2020

Similar Medicare Providers

1437682457 — DEANNA SKLARSKI LMSW
Practice Location Address:

261 E MAPLE RD # 5
BIRMINGHAM, MI
48009-6324

Practice Phone: 567-343-2102
Practice Fax:

1417828930 — ECHO CARE SUPPLIES INC
Practice Location Address:

261 E MAPLE RD FL 2
BIRMINGHAM, MI
48009-6324

Practice Phone: 312-394-0466
Practice Fax:

1255065462 — HANNAH SMART FNP
Practice Location Address:

373 S OLD WOODWARD AVE
BIRMINGHAM, MI
48009-6255

Practice Phone: 917-218-2694
Practice Fax:

1467669333 — DR. THOMAS RICHARD GEBECK JR. D.D.S., M.S.
Practice Location Address:

35046 WOODWARD AVE STE 200
BIRMINGHAM, MI
48009-0964

Practice Phone: 248-644-5400
Practice Fax: 248-644-4954

1356206668 — AMYNA FTOUNI
Practice Location Address:

135 N OLD WOODWARD AVE
BIRMINGHAM, MI
48009-3341

Practice Phone: 313-444-9887
Practice Fax: 313-263-6095

1235094541 — AFP LLC
Practice Location Address:

135 N OLD WOODWARD AVE
BIRMINGHAM, MI
48009-3341

Practice Phone: 313-444-9887
Practice Fax:

Directions to “ ANNA SOFEN PSYD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.