| NPI | 1831516152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA LOURIE Psychologist 248-788-9708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301007750) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |