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NPI Code Detail

MEDICARE: NEUROPSYCHOLOGY ASSOCIATES PLC

MEDICARE: NEUROPSYCHOLOGY ASSOCIATES PLC
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
1103G00000XClinical NeuropsychologistMI
2103T00000XPsychologistMI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10C96409OTHERMIBCBSM

General Provider Information

NPI Number : 1447209051
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEUROPSYCHOLOGY ASSOCIATES PLC
Provider Business Mailing Address
First Line : 4328 W MICHIGAN AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49006-5823
Country : US
Telephone Number : 269-375-2222
Fax Number : 269-375-6078
Provider Business Practice Location Address
First Line : 4328 W MICHIGAN AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49006-5823
Country : US
Telephone Number : 269-375-2222
Fax Number : 269-375-6078
Authorized Official
Title or Position : OFFICER
Name : DR. ALAN G LEWANDOWSKI
Credential : PHD
Telephone Number : 269-375-2222
Provider Enumeration Date : 05/09/2006
Last Update Date : 05/16/2014

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