Provider Demographics
NPI:1194082289
Name:KRAUSPIPER LLC
Entity type:Organization
Organization Name:KRAUSPIPER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:PIPER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:734-995-1941
Mailing Address - Street 1:1817 W STADIUM BLVD
Mailing Address - Street 2:SUITE H
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-4577
Mailing Address - Country:US
Mailing Address - Phone:734-995-1941
Mailing Address - Fax:
Practice Address - Street 1:1817 W STADIUM BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-4577
Practice Address - Country:US
Practice Address - Phone:734-995-1941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801046603251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health