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DR. DARREN RONALD FUERST PH.D.

Clinical Neuropsychologist

Dearborn, Michigan

Provider NPI: 1437148137

Provider Information:
DR. DARREN RONALD FUERST PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
18181 OAKWOOD BLVD STE 411 DEARBORN, MI 48124 US
Tel: 313-438-7373  Fax: 313-438-7375

Business Mailing Address:
1560 E MAPLE RD SUITE 400 TROY, MI 48083 US
Tel: 313-438-7373  Fax: 313-438-7375

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MI6301008758
N103T00000XBehavioral Health & Social Service Providers
Psychologist
MI6301008758
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
MI6301008758

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD OF MICHIGAN0H29917MI01
BLUE CROSS BLUE SHIELD OF MICHIGAN680H26078MI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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