| NPI | 1588936728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL COWAN President 248-745-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301005488) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301005488) |
| 103TF0200X Psychologist, Forensic (Licence: MI 6301005488) | |
| 103TH0004X Psychologist, Health (Licence: MI 6301005488) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |