| Comprehensive Neuropsychology, Pllc | |
|
20700 Civic Center Dr Ste 327 Southfield MI 48076-4150 | |
| (734) 735-6788 | |
| (734) 325-2326 |
| Full Name | Comprehensive Neuropsychology, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 20700 Civic Center Dr Ste 327, Southfield, Michigan |
| Authorized Official Name and Position | Christian Schutte (OWNER) |
| Authorized Official Contact | 7347356788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Neuropsychology, Pllc 20700 Civic Center Dr Ste 327 Southfield MI 48076-4150 Ph: (734) 735-6788 | Comprehensive Neuropsychology, Pllc 20700 Civic Center Dr Ste 327 Southfield MI 48076-4150 Ph: (734) 735-6788 |
| NPI Number | 1174833198 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/24/2022 |
| Medicare PECOS PAC ID | 4385011204 |
|---|---|
| Medicare Enrollment ID | O20221107002098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174833198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 6301013374 (Michigan) | Primary |
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