Organization · NPI-2
Advanced Neuro Feedback
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology · Farmington Hills, MI
NPI number1083851695
StatusActive
Last updated in NPPESFeb 12, 2009
Details
- NPI
- 1083851695
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Neuro Feedback
- Organization subpart
- No
- Enumeration date
- Jan 20, 2009
- Last updated
- Feb 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 208D00000X | General Practice | – | – |
Practice location
27950 Orchard Lake RdSuite 115
Farmington Hills, MI 48334-3758
Phone 248-626-0066 · Fax 248-626-0069
Mailing address
27950 Orchard Lake RdSuite 115
Farmington Hills, MI 48334-3758
Phone 248-626-0066 · Fax 248-626-0069
Authorized official
Ramesh Chheda
Owner
2486260066
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