Individual
DR. NICK VELISSARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., PH.D.
Contact information
Practice address
2502 PACKARD ST UNIT 3210, ANN ARBOR, MI 48104-6850
(847) 778-3383
Mailing address
2502 PACKARD ST UNIT 3210, ANN ARBOR, MI 48104-6850
(847) 778-3383
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301017914
MI
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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