| NPI | 1659522159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE ILENE APPLEBAUM President 248-203-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301009696) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |