NPI | 1245708320 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY ZELIDMAN Fully Licensed Psychologist/Owner 248-514-5354 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103T00000X Psychologist |
103TB0200X Psychologist, Cognitive & Behavioral | |
Enumeration Date | 2018-11-07 |
Last Update Date | 2022-11-10 |