NPI 1114108974

Michael Vredevoogd PC

Organisation Clinical Neuropsychologist Clinton Township, MI

Practice location

Address: 36385 Harper Ave, Clinton Township, MI 48035-4635
Phone: (586) 741-0295

Authorised official

Name: Michael James Vredevoogd
Title: President
Phone: (586) 741-0295

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 63010066531 (MI)

Other Clinical Neuropsychologist providers in Michigan →

Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence 63010066531 (MI)

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1114108974
Entity type: Organization
NPI issued: 21 Nov 2007
Record last updated: 21 Nov 2007

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.