Individual
DR. TIMOTHY GRAYSON ROYER
Active
Individual
DR. TIMOTHY GRAYSON ROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301009353
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D14689
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
1013294628
COMPANY/GROUP NPI #
MI
Enumeration date
02/25/2013
Last updated
02/25/2013
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