| NPI | 1649548272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LOEFFLER ZIEBARTH Psychologist 269-428-4789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008479) |
| Enumeration Date | 2011-12-10 |
| Last Update Date | 2011-12-10 |