NPI | 1144398504 |
---|---|
Former Legal Business Name | ROBERT MIELKE PHD & KATHLEEN WEEKS M A M S INC |
Entity Type | Organization |
Authorized Contact | ROBERT WEEKS MIELKE President 248-828-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301006282) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2012-11-14 |