| NPI | 1720024672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN SUE LUCAS Psychologist, Owner 517-333-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301008781) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2013-09-25 |