University Physician Group in Detroit - Clinical Neuropsychologist
University Physician Group - NPI 1457390254
University Physician Group is a Clinical Neuropsychologist in Detroit, Michigan. University Physician Group practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for University Physician Group is 1457390254. The last update date is 2007-12-12.
University Physician Group's current location address is 4201 Saint Antoine St., Detroit, Michigan. You can contact this provider via phone number 3137454275. The mailing address for University Physician Group is 4201 Saint Antoine St., Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | University Physician Group |
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Address | 4201 Saint Antoine St., Detroit, Michigan |
Phone Number | 3137454275 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF ADMI |
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Authorized Official Name | Lee P. Kenneth |
Telephone Number | 3135778112 |
NPI Number Detail
NPI Number | 1457390254 |
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Provider Enumeration Date | 2006-06-06 |
Last Updated Date | 2007-12-12 |
Provider Mailing Address Detail
Address | 4201 Saint Antoine St. |
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City | Detroit |
State | Michigan (MI) |
Post Code | 48201 |
Phone Number | 3137454275 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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Taxonomy | 103G00000X |
Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique identifier code issued to University Physician Group by the Centers for Medicare & Medicaid Services?
The University Physician Group has been assigned the NPI (National Provider Identifier) 1457390254. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where University Physician Group's facilities are geographically located?
The facilities of University Physician Group are physically situated at the following location: 4201 Saint Antoine St., Detroit, MI, 48201.
What is University Physician Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The University Physician Group's specialized field of practice is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103G00000X.
When did the University Physician Group receive its 1457390254?
The University Physician Group was issued its 1457390254 on 2006-06-06, which is the date when the organization was assigned this unique identifier.
When was the University Physician Group's information last updated?
The University Physician Group's information was last updated on 2007-12-12.