Organization
BAY CITY NEUROPSYCHOLOGY, P.L.L.C.
Active
Organization
BAY CITY NEUROPSYCHOLOGY, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA JEAN SCHAFER JOHNSON PHD (CLINICAL NEUROPSYCHOLOGY)
(989) 667-0100
Entity
Organization
Contact information
Practice address
800 S EUCLID AVE, SUITE 1, BAY CITY, MI 48706-3355
(989) 667-0100
(989) 667-0108
Mailing address
800 S EUCLID AVE, SUITE 1, BAY CITY, MI 48706-3355
(989) 667-0100
(989) 667-0108
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301013840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI 1693
MEDICARE PTAN
MI
Enumeration date
03/30/2010
Last updated
03/30/2010
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