Ann Wiersma, LLP
Psychologist, Forensic in Huntington Woods, MI. Individual provider (NPI-1).
NPI number1164030219
StatusActive
Last updated in NPPESJul 15, 2020
Details
- NPI
- 1164030219
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ann Wiersma
- Credential
- LLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2020
- Certification date
- Jul 15, 2020
- Last updated
- Jul 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TF0200X | Psychologist, Forensic | 6361006596 | MI | Yes |
Practice location
26711 Woodward Ave Ste 301Huntington Woods, MI 48070-1369
Phone 248-760-8873
Mailing address
27980 Greening StFarmington Hills, MI 48334-3715
Phone 248-760-8873
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