Healthcare Provider Details
I. General information
NPI: 1083763189
Provider Name (Legal Business Name): PSYCHOLOGICAL EVALUATION AND CONSULTING SERVICES P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13998 MERRIMAN RD
LIVONIA MI
48154-4259
US
IV. Provider business mailing address
30345 LA BREA CT
FRANKLIN MI
48025-1514
US
V. Phone/Fax
- Phone: 248-755-0892
- Fax: 248-538-8066
- Phone: 248-755-8092
- Fax: 248-538-8066
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | 6301007614 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 6301007614 |
| License Number State | MI |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | 6301007614 |
| License Number State | MI |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | 6301007614 |
| License Number State | MI |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 6301007614 |
| License Number State | MI |
VIII. Authorized Official
Name: DR.
KEVIN
VERNARD
BARBER
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 248-755-0892