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UNIVERSITY PHYSICIAN GROUP

Clinical Neuropsychologist

Detroit, Michigan

Provider NPI: 1265647481

Organization Information:
Organization Name:  UNIVERSITY PHYSICIAN GROUP
Organization is not Subpart
Authorized Official:  JEFFERY P KOHLITZ  CHIEF FINANCIAL OFFICER  248-5815930

Practice Location:
3901 BEAUBIEN ST 4TH FLR CARLS BLDG DETROIT, MI 48201 US
Tel: 313-745-4878  Fax: 313-993-0282

Business Mailing Address:
1560 E MAPLE RD STE 400-CREDENTIALING DEPT. TROY, MI 48083 US
Tel: 248-581-5973  Fax: 248-581-5640

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
N103T00000XBehavioral Health & Social Service Providers
Psychologist
N104100000XBehavioral Health & Social Service Providers
Social Worker
N106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
N2084P0800XPhysicians
Psychiatry & Neurology
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Other Provider Identifiers:

IssuerNumberStateType
BCBSM GROUP # - MD/DO0H22832MI01
MEDICARE GROUP # - SOCIAL WORKER0P32050MI01
BCBSM GROUP # - SOCIAL WORKER0H22872MI01
BCBSM GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST0H22874MI01
MEDICARE GROUP # - MD/DO FEE LOCALITY 990P32120MI01
BCBSM GROUP # - NP0H228310MI01
MEDICARE GROUP # - MD/DO0P30630MI01
BCBSM GROUP #0H22821MI01
MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST0P32060MI01
MEDICARE GROUP # - NP0P32180MI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MI - Page 1

1 Senior Psychologist (Chief Mental Health Service) Detroit, MI, USA PCSAS accredits doctoral programs in psychological clinical science. CPA accredits doctoral programs in clinical psychology, counseling psychology, clinical neuropsychology, and school psychology... Apply Now>>

2 Medical Assistant Certified Novi, MI, USA Minimum 2-3 years experience in clinical setting preferred with excellent customer service skills ... Neuropsychology and Physical Medicine and Rehabilitation. At MHSI we provide the entire continuum ...... Apply Now>>



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