| NPI | 1033393442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMEELA BADDIGAM Owner 586-263-6812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |