| NPI | 1336564020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCHROAT President 734-730-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008677) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301008677) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 6301008677) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: MI 6301008677) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301008677) | |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301008677) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301008677) | |
| 103TF0000X Psychologist, Family (Licence: MI 6301008677) | |
| 103TF0200X Psychologist, Forensic (Licence: MI 6301008677) | |
| 103TH0004X Psychologist, Health (Licence: MI 6301008677) | |
| 103TH0100X Psychologist, Health Service (Licence: MI 6301008677) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: MI 6301008677) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MI 6301008677) | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |