Theisen-Goodvich, Mary E

Theisen-Goodvich, Mary E is an individual health care provider with primary practice located at 325 E Eisenhower Pkwy Ste 300 , Ann Arbor MI 48108-3439. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Theisen-Goodvich, Mary E can be contacted via phone (734) 936-7175.

Contact Information

Primary practice address
325 E Eisenhower Pkwy Ste 300 Ann Arbor MI 48108-3439
Phone: (734) 936-7175
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301009981 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301009981 Michigan

Profile Details

NPI number 1003988528
LBN Legal business name Theisen-Goodvich, Mary E
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Feb 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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