Marie Vantubbergen
Clinical Psychologist Rehabilitation Psychologist
2205 Commonwealth Blvd
Ann Arbor
, Michigan 48105-2970
Marie Vantubbergen
Clinical Psychologist Rehabilitation Psychologist
2205 Commonwealth Blvd
Ann Arbor
, Michigan 48105-2970
(734) 649-5299
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About
Features
Specialties
- Clinical Psychologist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Marie Vantubbergen
- 3621 S State St
- Ann Arbor, MI
- Zip : 48108-1633
- Phone : (734) 649-5299
Second Address
- Marie Vantubbergen
- 2205 Commonwealth Blvd
- Ann Arbor, MI
- Zip : 48105-2970
- Phone : (734) 936-9552
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 6301012121 | MI |
| N | 103TC0700X | Clinical Psychologist | 6301012121 | MI |
| Y | 103G00000X | Clinical Psychologist | 6301012121 | MI |
| Y | 103TC0700X | Clinical Psychologist | 6301012121 | MI |
| N | 103TR0400X | Rehabilitation Psychologist | 6301012121 | MI |
National Provider Identifier
| NPI | 1629229455 |
|---|---|
| Provider Name | Marie Vantubbergen |
| First Address | Ann Arbor, MI 48108-1633 |
| Second Address | Ann Arbor, MI 48105-2970 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2008 |
| Last Update Date | 05/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.