| NPI | 1295129799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY L DELPH Office Manager 734-677-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301001432) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 5201007359) |
| 235Z00000X Speech-Language Pathologist, (Licence: MI 7101001686) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2024-01-02 |