| NPI | 1760545065 |
|---|---|
| Doing Business As | HARRIET J. MALL, PH.D., P.C. |
| Entity Type | Organization |
| Authorized Contact | HARRIET J. MALL Psychologist 248-538-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401005154) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301008104) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: MI 6301008104) | |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301008104) | |
| 103T00000X Psychologist (Licence: MI 6301008104) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |