Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 1-19-38306 | MI |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 6301018851 | MI |
NPI | 1053981779 |
---|---|
Provider Name | Dr. Natalie Kathleen Morris Berriz |
First Address | Ann Arbor, MI 48103-9374 |
Second Address | Ann Arbor, MI 48103-9374 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2021 |
Last Update Date | 25/06/2021 |