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NPI Code Detail

MEDICARE: ASHLEY L WEINERT LLP, NCSP

MEDICARE: ASHLEY L WEINERT LLP, NCSP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist

General Provider Information

NPI Number : 1205320728
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY L WEINERT LLP, NCSP
Provider Business Mailing Address
First Line : 29642 MACINTOSH LN
Second Line :
City : NEW HUDSON
State : MI
Zip : 48165-8912
Country : US
Telephone Number : 248-921-1832
Fax Number :
Provider Business Practice Location Address
First Line : 27780 NOVI RD STE 244
Second Line :
City : NOVI
State : MI
Zip : 48377-3427
Country : US
Telephone Number : 248-916-2855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2018
Last Update Date : 06/15/2022

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Directions to “ ASHLEY L WEINERT LLP, NCSP” Practice Location

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