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NPI 1083763189

NPI 1083763189 : PSYCHOLOGICAL EVALUATION AND CONSULTING SERVICES P.C. : LIVONIA, MI

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General NPI Number Information
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    NPI Number           |    1083763189
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    Entity Type          |    Organization 
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    Legal Business Name  |    PSYCHOLOGICAL EVALUATION AND CONSULTING SERVICES P.C. 
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Dates
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    Enumeration Date     |    01/09/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    13998 MERRIMAN RD 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48154-4259
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    Country              |    US
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    Telephone            |    248-755-0892
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    Fax                  |    248-538-8066
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Provider Business Mailing Address
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    Address Line         |    30345 LA BREA CT 
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    City                 |    FRANKLIN
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    State                |    MI
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    Zip                  |    48025-1514
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    Country              |    US
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    Telephone            |    248-755-8092
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    Fax                  |    248-538-8066
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. KEVIN VERNARD BARBER 
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    Credential           |    PH.D.
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    Telephone            |    248-755-0892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    6301007614
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    6301007614
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    License Number State |    MI
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Taxonomy #3
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    6301007614
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    License Number State |    MI
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Taxonomy #4
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    Taxonomy Code        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    6301007614
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    License Number State |    MI
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Taxonomy #5
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    6301007614
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    License Number State |    MI
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