NPI 1063741270

Adult Neuropsychology

Organisation Clinical Neuropsychologist Detroit, MI

Practice location

Address: 4201 Saint Antoine St 4j Uhc, Detroit, MI 48201-2153
Phone: (313) 745-1784
Mailing address: 5006 Foothills Dr, Commerce Township, MI 48382-1559

Authorised official

Name: Darren Ronald Fuerst
Title: Director
Phone: (248) 363-4060

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 6301008758 (MI)

Other Clinical Neuropsychologist providers in Michigan →

Registry record

NPI: 1063741270
Entity type: Organization
NPI issued: 17 Dec 2009
Record last updated: 17 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.