NPI | 1306957444 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY L SCHWEDA Psychologist 517-780-0809 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301044183) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301010119) |
103TC0700X Psychologist, Clinical (Licence: MI 6302006268) | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 4301044183) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2025-09-11 |