WOOJIN SONG


Address: 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969
Phone: 6082176369

WOOJIN SONG (NPI# 1497165146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497165146
Entity Type Individual
Full Name WOOJIN SONG
Credential PH.D.
Practice Address 2101 Commonwealth Blvd Ste C
Ann Arbor
MI 48105-2969
Practice Telephone 6082176369
Practice Fax Number 7349369262
Mailing Telephone 6082176369
Mailing Fax Number 7349369262
Enumeration Date 2014-05-03
Last Update Date 2014-05-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist 6301015267 MI Behavioral Health & Social Service Providers
Y 103G00000X Clinical Neuropsychologist 071.008770 IL Behavioral Health & Social Service Providers

Office Location

Street Address 2101 COMMONWEALTH BLVD STE C
City ANN ARBOR
State MI
Zip Code 48105-2969

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811557960 Rowena Ng Clinical Neuropsychologist 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 2019-06-19
1831689710 Joel Stephen Peterman Clinical Neuropsychologist 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105 2018-05-16
1821409384 Deborah Stringer Clinical Neuropsychologist 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 2014-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730728718 Alexander Jendrusina Psychologist Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 2019-12-23
1417515875 Christine Shyh Wang Student in an Organized Health Care Education/Training Program 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 2019-05-31
1013475003 Ryan Wang Physician Assistant 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 2019-03-08
1801366265 Amruta Sonavaria Physical Therapist 4701 East Huron River Drive, Ann Arbor, MI 48105 2018-11-28
1568955730 Alexander Sliwicki Pediatrics 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 2018-06-12
1902398464 Austin Remington Student in an Organized Health Care Education/Training Program 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 2018-05-31
1881191658 Stephen James Hickner Student in an Organized Health Care Education/Training Program St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 2018-04-09
1245681709 Winnie Nhan Internal Medicine 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 2016-06-27
1861857971 Connie Chen Pharmacist 2215 Fuller Road (119), Ann Arbor, MI 48105 2015-12-17
1407241193 Stefan Craciun Emergency Medicine 3484 Ashburnam Rd, Ann Arbor, MI 48105 2015-03-31
Find all providers in zip 48105

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306272042 Erin Mark Clinical Neuropsychologist 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 2013-09-25
1801164496 Veronica Ichikawa Dillon Clinical Neuropsychologist 5600 Meadow Dr, Ann Arbor, MI 48105-9368 2011-12-09
1154592053 John Robert Milanovich Clinical Neuropsychologist 2001 Commonwealth Blvd, Ann Arbor, MI 48105-2947 2008-03-19
1639393614 Roger E. Lauer Clinical Neuropsychologist 5864 Interface Dr Ste D, Ann Arbor, MI 48103-9514 2007-04-12
1780797621 Elise Kay Hodges Clinical Neuropsychologist 2101 Commonwealth, Ann Arbor, MI 48105-2969 2006-08-16
1083236095 Amanda Maher Clinical Neuropsychologist 2101 Commonwealth Blvd, Ann Arbor, MI 48105-2969 2020-05-13
1811557960 Rowena Ng Clinical Neuropsychologist 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 2019-06-19
1053899344 Annalise Marie Rahman-filipiak Clinical Neuropsychologist 2101 Commonwealth Blvd, Suite C, Ann Arbor, MI 48105-2969 2018-07-30
1619461787 Cynthia Zurhellen Burton Clinical Neuropsychologist 2101 Commonwealth, Ann Arbor, MI 48105-2969 2018-06-21
1831689710 Joel Stephen Peterman Clinical Neuropsychologist 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105 2018-05-16
Find all providers in ANN ARBOR

Competitor

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City ANN ARBOR
Zip Code 48105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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