Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JAMES VREDEVOOGD, PH.D.
Active Sole ProprietorDR. MICHAEL JAMES VREDEVOOGD, PH.D. is a Clinical Neuropsychologist healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1205985397 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · CLINTON TOWNSHIP, MI
Registration Details
- NPI Number
- 1205985397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2007 (19.641918143929 yrs)
- Last Updated
- Jul 8, 2007
- License
-
63010006531 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
36385 HARPER AVECLINTON TOWNSHIP, MI, 480354635Browse MI providers · Browse ZIP 48035
- Phone
- 5867410295
- Fax
- 5867925190
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
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.