NPI | 1003051061 |
---|---|
Doing Business As | SUMMA HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | LYDIA ALEXANDER-COOK President 234-312-5873 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2008-12-04 |
Last Update Date | 2021-09-28 |