| NPI | 1295814200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M MOYLAN Single Member P LLC 248-553-2558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301006253) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |