| 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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