| 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 |