| NPI | 1619840568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA STOCKER Owner 616-289-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-09-26 |