Basic Information
| Provider Information | |||||||||
| NPI: | 1881204311 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WARBRITTON | ||||||||
| FirstName: | ANNIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 120 WALNUT ST | ||||||||
| Address2: | |||||||||
| City: | GRASS LAKE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 492409205 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3200 W LIBERTY RD | ||||||||
| Address2: | |||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481039746 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7343696002 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2020 | ||||||||
| LastUpdateDate: | 08/10/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 7151001691 | MI | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.