Individual provider · Type 1 NPI
Mary E. Theisen-Goodvich, PhD
Clinical Psychologist · Ann Arbor, MI
Practice location
325 E Eisenhower Pkwy Ste 300
Ann Arbor, MI 48108-3439
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 6301009981 (MI) |
| Clinical Psychologist Primary | 103TC0700X | 6301009981 (MI) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1003988528
Mary E. Theisen-Goodvich, PhD's National Provider Identifier is 1003988528, issued on Nov 14, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Ann Arbor, MI. The record was last updated on Feb 28, 2020.