NPI | 1013276013 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET A MACDEVITT Owner/ Doleproprietor 906-226-9584 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301005893) |
Enumeration Date | 2012-05-10 |
Last Update Date | 2012-05-29 |