Whalio Doctors

NPI 1144432774

Ami Sheth Antonucci, PHD

Practitioner Clinical Neuropsychologist Bingham Farms, MI

Practice location

Address
31600 Telegraph Rd STE 250, Bingham Farms, MI 48025-4317
Phone
(248) 690-6993

Registered specialties (4)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 6301012812 (MI)
Adult Development & Aging Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TA0700X Licence 6301012812 (MI)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 6301012812 (MI)
Clinical Child & Adolescent Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 6301012812 (MI)

Registry record

NPI
1144432774
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 May 2007
Record last updated
28 Nov 2017

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.