Ennis Berker in Dexter - Clinical Neuropsychologist
Ennis Berker - NPI 1316039357
Ennis Berker is a Clinical Neuropsychologist in Dexter, Michigan. Ennis Berker practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Ennis Berker is 1316039357. The last update date is 2018-03-17.
Ennis Berker's current location address is 1008 Merlin Way, Dexter, Michigan. You can contact this provider via phone number 2692172992 and fax number 7346230108. The mailing address for Ennis Berker is 1008 Merlin Way, Dexter, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ennis Berker |
|---|---|
| Address | 1008 Merlin Way, Dexter, Michigan |
| Phone Number | 2692172992 |
| Fax Number | 7346230108 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1316039357 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 1008 Merlin Way |
|---|---|
| City | Dexter |
| State | Michigan (MI) |
| Post Code | 481309834 |
| Phone Number | 2692172992 |
| Fax Number | 7346230108 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 6301 006050 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C 94573 | MI | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Ennis Berker by the Centers for Medicare & Medicaid Services (CMS)?
The Ennis Berker has been assigned the NPI (National Provider Identifier) 1316039357. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Ennis Berker is physically located?
The Ennis Berker is physically situated at the following address: 1008 Merlin Way, Dexter, MI, 481309834.
What is Ennis Berker's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ennis Berker is Clinical Neuropsychologist, and the corresponding taxonomy classification code for this specialized field is 103G00000X.
When did Ennis Berker receive its 1316039357 assignment?
The Ennis Berker was assigned its 1316039357 on 2006-09-28, which is the date when this unique identifier was issued to the organization.
As of what date were the Ennis Berker's details last updated?
The information pertaining to the Ennis Berker, including its address, specialty, and other details, was most recently updated on 2018-03-17.