Provider Demographics
NPI:1780825802
Name:GREIFER, ANDREW N (PHD, MSW)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:N
Last Name:GREIFER
Suffix:
Gender:M
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1156 KIM ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-2605
Mailing Address - Country:US
Mailing Address - Phone:734-474-4315
Mailing Address - Fax:
Practice Address - Street 1:1785 W STADIUM BLVD
Practice Address - Street 2:SUITE 203C
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-5285
Practice Address - Country:US
Practice Address - Phone:734-913-1093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010578561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical