Mary E Theisen-Goodvich, PHD

NPI #1003988528 in Ann Arbor, Michigan

Provider Information

NPI Number: 1003988528
Entity Type: Individual
Name: Mary E Theisen-Goodvich, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Nov 14, 2006
Last Updated: Feb 28, 2020

Practice Location

Address: 325 E EISENHOWER PKWY STE 300
City: Ann Arbor
State: Michigan
ZIP Code: 48108-3439
Phone: (734) 936-7175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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