| NPI | 1528023587 |
|---|---|
| Other Name | PH PSYCHOLOGY PHD/PROVIDENCE HOSPITAL AND MEDICAL CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing Coordinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-06-28 |