Organization
CENTER FOR NEUROPSYCHOLOGY & LEARNING
Active
Other names
Center for Neuropsychology, Learning & Development
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER E. LAUER PH.D. (OWNER/DIRECTOR)
(734) 994-9466
Entity
Organization
Contact information
Practice address
5864 INTERFACE DR STE D, ANN ARBOR, MI 48103-9514
(734) 994-9466
(734) 994-9465
Mailing address
5864 INTERFACE DR STE D, ANN ARBOR, MI 48103-9514
(734) 994-9466
(734) 994-9465
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301007927
MI
103T00000X
Psychologist
6301007927
MI
103TA0700X
Adult Development & Aging Psychologist
6301007927
MI
103TC0700X
Clinical Psychologist
Primary
6301007927
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301007927
MI
103TF0000X
Family Psychologist
6301007927
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301007927
MI
103TP2701X
Group Psychotherapy Psychologist
6301007927
MI
104100000X
Social Worker
6801085187
MI
1041C0700X
Clinical Social Worker
6801085187
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680H112930
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/12/2007
Last updated
10/11/2017
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