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ELIZABETH A. WAITES PSYCHOLOGIST P. C. NPI 1184846255


NPI Information

NPI: 1184846255
Provider Name: ELIZABETH A. WAITES, PSYCHOLOGIST P. C.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2002 HOGBACK RD STE 15
ANN ARBOR, MI
ZIP 48105
Phone: (734) 662-7312
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ELIZABETH A. WAITES, PSYCHOLOGIST P. C. is a mental health (including community mental health center) clinic center in Ann Arbor, MI. ELIZABETH A. WAITES, PSYCHOLOGIST P. C. NPI is 1184846255. The provider is registered as an organization entity type.

The provider's business location address is:

2002 HOGBACK RD STE 15
ANN ARBOR, MI
ZIP 48105-736
Phone: (734) 662-7312

The provider's authorized official is Elizabeth Angeline Waites .
The authorized official title is Licensed Psychologist and has the following contact phone number (734) 662-7312.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 12/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)6301001241MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10H14551MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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