| NPI | 1922247162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL K. EHNIS Licensed Clinical Psychologist 616-975-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6635) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |