Individual
DR. ROGER E. LAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
103TF0200X
Forensic Psychologist
6301007927
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301007927
MI
103TP2701X
Group Psychotherapy Psychologist
6301007927
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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