Cnld Neuropsychology Pc | |
5864 Interface Dr Ste D Ann Arbor MI 48103-9514 | |
(734) 994-9466 | |
(734) 994-9465 |
Full Name | Cnld Neuropsychology Pc |
---|---|
Speciality | Psychologist - Clinical |
Location | 5864 Interface Dr Ste D, Ann Arbor, Michigan |
Authorized Official Name and Position | Roger E. Lauer (OWNER/DIRECTOR) |
Authorized Official Contact | 7349949466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cnld Neuropsychology Pc 5864 Interface Dr Ste D Ann Arbor MI 48103-9514 Ph: (734) 994-9466 | Cnld Neuropsychology Pc 5864 Interface Dr Ste D Ann Arbor MI 48103-9514 Ph: (734) 994-9466 |
NPI Number | 1023721511 |
---|---|
Provider Enumeration Date | 12/30/2022 |
Last Update Date | 12/30/2022 |
Certification Date | 12/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023721511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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