| NPI | 1689913071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LYNN THOMPSON Clinical Psychologist 734-358-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013656) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2024-09-17 |