| NPI | 1538582671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN WYGLINSKI Psychologist Llp 517-483-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TE1100X Psychologist, Exercise & Sports | |
| 103TF0000X Psychologist, Family | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2014-01-25 |
| Last Update Date | 2014-01-25 |