| NPI | 1538430640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY DOLIN DIETRICH Licensed Psychologist 248-723-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301012590) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |