| NPI | 1447612882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN SHEPLER Licensed Psychologist 419-303-9542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015402) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |