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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