| NPI | 1588266985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE LEDERMAN Owner And Licensed Psychologist 248-459-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 103TF0000X Psychologist Family | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |