Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Univeristy Affiliated Neurologists

Organization Clinical Neuropsychologist · NPI 1952330474

Univeristy Affiliated Neurologists is a Clinical Neuropsychologist in Detroit, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

4201 St Antoine St Ste 8D
Detroit, MI 48201
Phone: (313) 745-4275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Clinical Neuropsychologist Taxonomy 103G00000X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1952330474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Lisak — Department Chair · (313) 577-1249
NPI enumeratedJune 30, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address3800 Woodward Ave., Suite 702, Detroit, MI 48201

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