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 |