Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersREGENTS OF THE UNIVERSITY OF MICHIGAN
Clinical Neuropsychologist
Ann Arbor, Michigan
Provider NPI: 1568487130
Organization Information:Organization Name: REGENTS OF THE UNIVERSITY OF MICHIGAN
Organization is Subpart
Authorized Official: DAVID A SPAHLINGER EXEC MEDICAL DIRECTOR FACULTY GRP 734-9363568
Practice Location:
4250 PLYMOUTH ROAD ANN ARBOR, MI 48109 US
Tel: 800-525-5188 Fax: --
Business Mailing Address:
3621 S STATE ST 700 KMS PLACE ANN ARBOR, MI 48108 US
Tel: 734-936-2047 Fax: --
Entity Type: Organization
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Organization is Subpart
Authorized Official: DAVID A SPAHLINGER EXEC MEDICAL DIRECTOR FACULTY GRP 734-9363568
Practice Location:
4250 PLYMOUTH ROAD ANN ARBOR, MI 48109 US
Tel: 800-525-5188 Fax: --
Business Mailing Address:
3621 S STATE ST 700 KMS PLACE ANN ARBOR, MI 48108 US
Tel: 734-936-2047 Fax: --
Entity Type: Organization
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | ||
| N | 103T00000X | Behavioral Health & Social Service Providers Psychologist | ||
| N | 103TA0400X | Behavioral Health & Social Service Providers Psychologist | ||
| N | 103TA0700X | Behavioral Health & Social Service Providers Psychologist | ||
| N | 103TB0200X | Behavioral Health & Social Service Providers Psychologist | ||
| N | 103TC1900X | Behavioral Health & Social Service Providers Psychologist | ||
| N | 103TC2200X | Behavioral Health & Social Service Providers Psychologist | ||
| N | 103TF0000X | Behavioral Health & Social Service Providers Psychologist | ||
| N | 103TH0100X | Behavioral Health & Social Service Providers Psychologist | ||
| N | 103TM1800X | Behavioral Health & Social Service Providers Psychologist | ||
| N | 103TP2701X | Behavioral Health & Social Service Providers Psychologist | ||
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS | 680H161850 | MI | 01 |
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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