| Kathleen Price Irvin | |
|
2002 Hogback Rd #15 Ann Arbor MI 48105-9736 | |
| (734) 383-4473 | |
| Not Available |
| Full Name | Kathleen Price Irvin |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2002 Hogback Rd, Ann Arbor, Michigan |
| Authorized Official Name and Position | Kathleen Price Irvin (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7343834473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Price Irvin 2305 Fernwood Ave Ann Arbor MI 48104-5256 Ph: (734) 383-4473 | Kathleen Price Irvin 2002 Hogback Rd #15 Ann Arbor MI 48105-9736 Ph: (734) 383-4473 |
| NPI Number | 1154877835 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154877835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6801058684 (Michigan) | Primary |
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› Verified 2 days ago
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