Basic Information
| Provider Information | |||||||||
| NPI: | 1780825802 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GREIFER | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | N | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D., M.S.W. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1156 KIM ST | ||||||||
| Address2: | |||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481032605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7344744315 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1785 W STADIUM BLVD | ||||||||
| Address2: | SUITE 203C | ||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481035285 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7349131093 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/19/2009 | ||||||||
| LastUpdateDate: | 03/19/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 6801057856 | MI | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.