Goergen, Marianne
Goergen, Marianne is an individual health care provider with primary practice located at 8435 Holly Rd , Grand Blanc MI 48439-1812. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goergen, Marianne can be contacted via phone (810) 424-2400.Contact Information
Primary practice address
8435 Holly Rd
Grand Blanc MI 48439-1812
Phone: (810) 424-2400
Fax: (810) 579-7222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1606356 | Michigan |
Profile Details
| NPI number | 1104967405 |
|---|---|
| LBN Legal business name | Goergen, Marianne |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Feb 10th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104967405 | NPPES |
| Michigan | Other | 1007186 | MCLAREN HEALTH ADVANTAGE |
| Michigan | Other | 1007251 | MCLAREN HEALTH ADVANTAGE |
| Michigan | Other | 348-776-000 | MCLAREN HEALTH ADVANTAGE |
| Michigan | Other | 68-0-F3-3300-0 | MCLAREN HEALTH ADVANTAGE |
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