University Affiliated Neurologists, Inc in Detroit - Clinical Neuropsychologist
University Affiliated Neurologists, Inc - NPI 1124249420
University Affiliated Neurologists, Inc is a Clinical Neuropsychologist in Detroit, Michigan. University Affiliated Neurologists, Inc practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for University Affiliated Neurologists, Inc is 1124249420. The last update date is 2020-08-22.
University Affiliated Neurologists, Inc'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 Affiliated Neurologists, Inc is 4201 Saint Antoine St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Affiliated Neurologists, Inc |
|---|---|
| Address | 4201 Saint Antoine St, Detroit, Michigan |
| Phone Number | 3137454275 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Wasmundt Suzanne |
| Telephone Number | 3135778958 |
NPI Number Detail
| NPI Number | 1124249420 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4201 Saint Antoine St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012153 |
| Phone Number | 3137454275 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
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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 |
|---|---|---|---|
| 0H24771 | MI | BCBSM GROUP NUMBER |
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What is the unique 10-digit identifier code issued to University Affiliated Neurologists, Inc by the Centers for Medicare & Medicaid Services?
The University Affiliated Neurologists, Inc has been assigned the NPI (National Provider Identifier) 1124249420 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the University Affiliated Neurologists, Inc's physical address?
The University Affiliated Neurologists, Inc is physically located at 4201 Saint Antoine St, in the city of Detroit, MI, with the postal code 482012153.
What is the University Affiliated Neurologists, Inc's area of specialization and corresponding taxonomy classification?
The University Affiliated Neurologists, Inc's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date did University Affiliated Neurologists, Inc receive its 1124249420 assignment from the Centers for Medicare & Medicaid Services?
The University Affiliated Neurologists, Inc was assigned its 1124249420 on 2007-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the University Affiliated Neurologists, Inc's information last updated?
The University Affiliated Neurologists, Inc's information was last updated on 2020-08-22.