Individual provider · Type 1 NPI
Anitha Mummineni, M.S., L.L.P.
Intellectual & Developmental Disabilities Psychologist · Northville, MI
NPI number
1619204914
Active
Practice location
50889 Briar Ridge Lane
Northville, MI 48168-3215
Mailing address
50889 Briar Ridge Ln
Northville, MI 48168-6878
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 6301012843 (MI) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1619204914
Anitha Mummineni, M.S., L.L.P.'s National Provider Identifier is 1619204914, issued on Nov 6, 2009. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Northville, MI. The record was last updated on Feb 2, 2017.