| NPI | 1043338239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTE DIANE GLICKFIELD Psychologist 248-865-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301005241) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |