Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lake Michigan Neuropsychology PLLC

Organization Clinical Psychologist · NPI 1699470039

Lake Michigan Neuropsychology PLLC provides Clinical Psychologist services in Ann Arbor, Michigan. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Victors Way Ste 175
Ann Arbor, MI 48108-5224
Phone: (734) 328-1991
Fax: (734) 480-8987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1699470039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eduardo Montoya — Owner · (734) 328-1991
NPI enumeratedApril 4, 2023
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023
Mailing address900 Victors Way Ste 175, Ann Arbor, MI 48108-5224

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