| NPI | 1124233549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DOUGLAS CALLAN Psychologist 810-629-6549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301002282) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-03-14 |