Provider Demographics
NPI:1932822608
Name:ANNE M WINDBERG
Entity type:Organization
Organization Name:ANNE M WINDBERG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASTER'S LIMITED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WINDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MA MLP
Authorized Official - Phone:231-769-2334
Mailing Address - Street 1:425 W WESTERN AVE STE 406
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49440-1101
Mailing Address - Country:US
Mailing Address - Phone:231-769-2334
Mailing Address - Fax:
Practice Address - Street 1:425 W WESTERN AVE STE 406
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49440-1101
Practice Address - Country:US
Practice Address - Phone:231-769-2334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty