# CLAUDE W. EGGERTSEN, PHD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861613887
- **Authorized official:** CLAUDE W. EGGERTSEN PHD (PRESIDENT, OWNER)
- **Authorized official phone:** (586) 752-0091

## Contact information

- **Practice address:** 288 S MAIN ST, STE. 1, ROMEO, MI 48065-5133
- **Practice address phone:** (586) 752-0091
- **Practice address fax:** (586) 677-7809
- **Mailing address:** PO BOX 747, WASHINGTON, MI 48094-0747
- **Mailing address phone:** (586) 752-0091
- **Mailing address fax:** (596) 677-7809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | — | NULL | — |
| 103G00000X | Clinical Neuropsychologist | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 09/11/2025