NPI | 1760752976 |
---|---|
Former Legal Business Name | MITCHELL S. WEISBROD, PSY.D. |
Entity Type | Organization |
Authorized Contact | MITCHELL SCOTT WEISBROD Clinical Psychologist 517-544-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008984) |
Enumeration Date | 2012-01-04 |
Last Update Date | 2017-04-07 |