NPI | 1023352747 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE MICHAEL PINTAR Owner/Psychologist 231-714-7054 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301013916) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301013916) |
Enumeration Date | 2012-11-19 |
Last Update Date | 2012-12-13 |