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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARSON TEAGUE, PHD

Active Sole Proprietor

CARSON TEAGUE, PHD is a Clinical Neuropsychologist healthcare provider located in DETROIT, Michigan. NPI 1447024617 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · DETROIT, MI

Registration Details

NPI Number
1447024617
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2023 (2.8117821734077 yrs)
Last Updated
Feb 3, 2025
Licenses
6301019342 (MI)
6301019342 (MI)
Sole Proprietor
Yes

Practice Information

Address
261 MACK AVE STE 555
DETROIT, MI, 482012417
Browse MI providers · Browse ZIP 48201
Phone
3137459763
Fax
3137459854
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in DETROIT, MI

Name Credential NPI
JENNIFER A PENDER PHD 1356388912
ROBIN A HANKS PHD 1518904218
DR. BRADLEY NEAL AXELROD PH.D. 1316950678
DR. REBECCA ANNE BAIRD PH.D. 1144344128
DR. BRAD M MERKER PH. D. 1780801514
KATHRYN WILSON P.D. 1235423104
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.