| NPI | 1235465659 |
|---|---|
| Other Name | PSYCHOLOGIST GROUP |
| Entity Type | Organization |
| Authorized Contact | ROBERT CLEMENTE Manager 248-619-9771 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |