Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AMI SHETH ANTONUCCI, PH.D.
Active Sole ProprietorDR. AMI SHETH ANTONUCCI, PH.D. is a Clinical Neuropsychologist healthcare provider located in BINGHAM FARMS, Michigan. NPI 1144432774 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · BINGHAM FARMS, MI
Registration Details
- NPI Number
- 1144432774
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2007 (19.252929800595 yrs)
- Last Updated
- Nov 28, 2017
- Licenses
-
6301012812 (MI)6301012812 (MI)6301012812 (MI)6301012812 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31600 TELEGRAPH RD STE 250BINGHAM FARMS, MI, 480254317Browse MI providers · Browse ZIP 48025
- Phone
- 2486906993
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Child, Clinical Psychologist
- Additional Specialty
- Clinical Neuropsychologist
Other Clinical Neuropsychologist Providers in BINGHAM FARMS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. RENEE ILENE APPLEBAUM | PH.D | 1083789838 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.