| NPI | 1932437464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA BETH LEVY-LARSON President 248-661-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301006751) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |