NPI | 1902303563 |
---|---|
Entity Type | Organization |
Authorized Contact | KARA STOCKER Psychologist 517-819-2506 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AK 125197) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2018-04-10 |
Last Update Date | 2022-03-22 |