Provider Demographics
NPI:1467330621
Name:NEUROPSYCHOLOGY SPECIALISTS PLLC
Entity type:Organization
Organization Name:NEUROPSYCHOLOGY SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:ERGH
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-212-1840
Mailing Address - Street 1:40400 ANN ARBOR RD E STE 104A
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-6611
Mailing Address - Country:US
Mailing Address - Phone:734-212-1840
Mailing Address - Fax:734-809-3804
Practice Address - Street 1:40400 ANN ARBOR RD E STE 104A
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-6611
Practice Address - Country:US
Practice Address - Phone:734-212-1840
Practice Address - Fax:734-809-3804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty