| NPI | 1013495019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY MCKEEVER Clinical Psychologist 313-729-9376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008993) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2024-12-16 |