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 codeDescriptionLicenseStatePrimary
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology––Yes
207R00000X Internal Medicine––
208D00000X General Practice––

Practice location

27950 Orchard Lake Rd
Suite 115
Farmington Hills, MI 48334-3758

Phone 248-626-0066 · Fax 248-626-0069

Mailing address

27950 Orchard Lake Rd
Suite 115
Farmington Hills, MI 48334-3758

Phone 248-626-0066 · Fax 248-626-0069

Authorized official

Ramesh Chheda
Owner
2486260066

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