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Mary E Theisen-Goodvich

Psychologist Clinical Psychologist

325 E Eisenhower Pkwy Ste 300
Ann Arbor , Michigan 48108-3439

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Mary E Theisen-Goodvich

Psychologist Clinical Psychologist

325 E Eisenhower Pkwy Ste 300
Ann Arbor , Michigan 48108-3439

(734) 647-5299

Write a Review Save Call

Mary E Theisen-Goodvich

Psychologist Clinical Psychologist

325 E Eisenhower Pkwy Ste 300
Ann Arbor , Michigan 48108-3439

(734) 647-5299 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Psychologist
  • Clinical Psychologist

Languages spoken

  • English

Location

325 E Eisenhower Pkwy Ste 300 Ann Arbor , Michigan 48108-3439

First Address

  • Mary E Theisen-Goodvich
  • 3621 S State St
  • Ann Arbor, MI
  • Zip : 48108-1633
  • Phone : (734) 647-5299

Second Address

  • Mary E Theisen-Goodvich
  • 325 E Eisenhower Pkwy Ste 300
  • Ann Arbor, MI
  • Zip : 48108-3439
  • Phone : (734) 936-7175

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FAQs


Where did Mary E Theisen-Goodvich attend graduate school?

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Where did Mary E Theisen-Goodvich do her residency?

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Where did Mary E Theisen-Goodvich do her fellowship?

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Is Mary E Theisen-Goodvich board certified?

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What type of doctor is Mary E Theisen-Goodvich

Clinical Psychologist

In what state does Mary E Theisen-Goodvich practice in?

Michigan

Where is Mary E Theisen-Goodvich ’s practice located?

325 E Eisenhower Pkwy Ste 300 , Ann Arbor, Michigan, 48108-3439

What is Mary E Theisen-Goodvich ’s gender?

Female

Is Mary E Theisen-Goodvich a sole practitioner?

No

Is Mary E Theisen-Goodvich accepting new patients?

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What languages does Mary E Theisen-Goodvich speak?

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Does Mary E Theisen-Goodvich accept insurance?

Yes, Mary E Theisen-Goodvich accepts insurance

Does Mary E Theisen-Goodvich offers telemedicine?

Mary E Theisen-Goodvich has not indicated if she offers telemedicine

What is Mary E Theisen-Goodvich ’s professional license number?

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What is Mary E Theisen-Goodvich ’s NPI number?

1003988528

Does Mary E Theisen-Goodvich have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 102L00000X Psychologist 6301009981 MI
N 103T00000X Psychologist 6301009981 MI
Y 103G00000X Clinical Psychologist 6301009981 MI
Y 103TC0700X Clinical Psychologist 6301009981 MI

National Provider Identifier

NPI 1003988528
Provider Name Mary E Theisen-Goodvich
First Address Ann Arbor, MI 48108-1633
Second Address Ann Arbor, MI 48108-3439
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 14/11/2006
Last Update Date 28/02/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
P42951 (02) MI

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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