| NPI | 1205952843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DENNIS ALLERS Psychologist 616-361-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301003194) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |