| NPI | 1063737377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JEAN SCHAFER JOHNSON Clinical Neuropsychology 989-667-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301013840) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |