| NPI | 1295072593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE M DUAX Psychologist 248-919-8229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014608) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |