Provider Demographics
NPI:1861430993
Name:YURIK, ANNE MARIE (PHD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:YURIK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 LOCKMOORE CT
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4228
Mailing Address - Country:US
Mailing Address - Phone:248-299-4267
Mailing Address - Fax:248-413-4059
Practice Address - Street 1:200 DIVERSION ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2245
Practice Address - Country:US
Practice Address - Phone:248-299-4315
Practice Address - Fax:248-413-4059
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007587103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist