| NPI | 1497198014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET EGGERT Psychologist 517-282-7598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013712) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-05-10 |