| NPI | 1215928643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY G SEWICK Owner 248-350-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301005256) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2021-05-24 |