Mark Wayne Shatz in Farmington Hills - Clinical Neuropsychologist

Mark Wayne Shatz - NPI 1912116179

Mark Wayne Shatz is a Clinical Neuropsychologist in Farmington Hills, Michigan. Mark Wayne Shatz practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Mark Wayne Shatz is 1912116179. The last update date is 2007-07-08.

Mark Wayne Shatz's current location address is 33505 W 14 Mile Rd, Farmington Hills, Michigan. You can contact this provider via phone number 2486613300 and fax number 2486619209. The mailing address for Mark Wayne Shatz is 33505 W 14 Mile Rd, Farmington Hills, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Wayne Shatz
Address 33505 W 14 Mile Rd, Farmington Hills, Michigan
Phone Number 2486613300
Fax Number 2486619209
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1912116179
Provider Enumeration Date 2007-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 33505 W 14 Mile Rd
City Farmington Hills
State Michigan (MI)
Post Code 483311588
Phone Number 2486613300
Fax Number 2486619209

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 6301005043
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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FAQs about Mark Wayne Shatz

What is the unique 10-digit identification code issued to Mark Wayne Shatz by the Centers for Medicare & Medicaid Services?

The Mark Wayne Shatz has been assigned the NPI (National Provider Identifier) 1912116179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Mark Wayne Shatz is physically located?

The Mark Wayne Shatz is situated at the following address: 33505 W 14 Mile Rd, Farmington Hills, MI 483311588.

What is Mark Wayne Shatz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Wayne Shatz is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1912116179 to Mark Wayne Shatz?

The Mark Wayne Shatz received its 1912116179 assignment from the Centers for Medicare & Medicaid Services on 2007-05-22.

As of what date was the information pertaining to Mark Wayne Shatz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark Wayne Shatz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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