| Bay City Neuropsychology, P.l.l.c. | |
|
800 S Euclid Ave Suite 1 Bay City MI 48706-3355 | |
| (989) 667-0100 | |
| (989) 667-0108 |
| Full Name | Bay City Neuropsychology, P.l.l.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 800 S Euclid Ave, Bay City, Michigan |
| Authorized Official Name and Position | Amanda Jean Schafer Johnson (CLINICAL NEUROPSYCHOLOGY) |
| Authorized Official Contact | 9896670100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay City Neuropsychology, P.l.l.c. 800 S Euclid Ave Suite 1 Bay City MI 48706-3355 Ph: (989) 667-0100 | Bay City Neuropsychology, P.l.l.c. 800 S Euclid Ave Suite 1 Bay City MI 48706-3355 Ph: (989) 667-0100 |
| NPI Number | 1063737377 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 03/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063737377 | NPI | - | NPPES |
| MI 1693 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 6301013840 (Michigan) | Primary |
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