| NPI | 1265532576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PELON Owner 517-339-1686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301002693) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |