Individual
HENRY AUGUSTUS BUCHTEL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2101 COMMONWEALTH BLVD, ANN ARBOR, MI 48105-2969
(800) 525-5188
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301008990
MI
103TC0700X
Clinical Psychologist
Primary
6301008990
MI
Other
Enumeration date
11/01/2006
Last updated
04/10/2019
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