NPI | 1326402769 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA ANN LYMAN Psychologist 269-744-1342 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301006637) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2024-09-11 |