| NPI | 1417848763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELISA JOHNSON Clinical Neuropsychologist/Owner 616-287-4164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |