Organization
MICHIGAN NEUROPSYCHOLOGICAL SOCIETY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D RUSSELL (PRESIDENT)
(248) 909-8402
Entity
Organization
Contact information
Practice address
26555 EVERGREEN RD, SUITE # 826, SOUTHFIELD, MI 48076-4206
(248) 350-9559
Mailing address
26555 EVERGREEN RD, SUITE # 826, SOUTHFIELD, MI 48076-4206
(248) 350-9559
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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