Organization
NEUROBEHAVIORAL CONSULTANTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOAN MARY INWALD (TREASURER)
(248) 723-9200
Entity
Organization
Contact information
Practice address
31600 TELEGRAPH RD STE 230, BINGHAM FARMS, MI 48025-4372
(248) 723-9200
(248) 723-9218
Mailing address
31600 TELEGRAPH RD STE 230, BINGHAM FARMS, MI 48025-4372
(248) 723-9200
(248) 723-9218
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
JI007220
MI
103TB0200X
Cognitive & Behavioral Psychologist
Primary
JI007220
MI
103TC0700X
Clinical Psychologist
JI007200
MI
103TC2200X
Clinical Child & Adolescent Psychologist
JI007220
MI
103TF0200X
Forensic Psychologist
JI007220
MI
103TP2701X
Group Psychotherapy Psychologist
JI007220
MI
103TR0400X
Rehabilitation Psychologist
JI007220
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF33125
BLUE CROSS
MI
Enumeration date
05/26/2007
Last updated
09/11/2025
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