MR. EDWARD DEWITT HUNTLEY IV


Address: 1681 Fulmer St, Ann Arbor, MI 48103-2452
Phone: 3016551936

MR. EDWARD DEWITT HUNTLEY IV (NPI# 1659669380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659669380
Entity Type Individual
Full Name MR. EDWARD DEWITT HUNTLEY IV
Practice Address 1681 Fulmer St
Ann Arbor
MI 48103-2452
Practice Telephone 3016551936
Mailing Telephone 3016551936
Enumeration Date 2011-07-15
Last Update Date 2020-04-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
6301015379 MI Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
6301015379 MI Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
6301015379 MI Behavioral Health & Social Service Providers
N 173F00000X Sleep Specialist, PhD 6301015379 Other Service Providers

Office Location

Street Address 1681 FULMER ST
City ANN ARBOR
State MI
Zip Code 48103-2452

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1982196523 Karen Gottschalk Psychotherapy Psychologist 2350 Washtenaw Ave Ste 7g, Ann Arbor, MI 48104-4532 2018-05-30
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1356839351 Adam Lafave Psychologist 3830 Packard St Ste 280, Ann Arbor, MI 48108-2276 2018-04-25
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Competitor

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City ANN ARBOR
Zip Code 48103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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