Provider Demographics
NPI:1174833198
Name:COMPREHENSIVE NEUROPSYCHOLOGY, PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE NEUROPSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUTTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-735-6788
Mailing Address - Street 1:20700 CIVIC CENTER DR STE 327
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-4150
Mailing Address - Country:US
Mailing Address - Phone:734-735-6788
Mailing Address - Fax:734-325-2326
Practice Address - Street 1:20700 CIVIC CENTER DR STE 327
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-4150
Practice Address - Country:US
Practice Address - Phone:734-735-6788
Practice Address - Fax:734-325-2326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013374103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty