Walter J. Zetusky, PH.D., P.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6301006416 Issued in MI

Legal business name

WALTER J. ZETUSKY, PH.D., P.C.

Practice address

33135 Schoolcraft Rd
Livonia, MI 48150-1625

Phone

(734) 425-0700

Fax

(734) 425-9666

NPI assigned

Apr 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Walter J. Zetusky, PH.D, P.C.

Title

Proprietor

Phone

(734) 425-0700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1467626226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33135 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501625",
            "telephone_number": "734-425-0700",
            "fax_number": "734-425-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33135 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501625",
            "telephone_number": "734-425-0700",
            "fax_number": "734-425-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER J. ZETUSKY, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "ZETUSKY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "734-425-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, P.C."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301006416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Livonia, MI
• Providers in Livonia, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.