| NPI | 1932519949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE A MORRISON Psychologist 1614-825-4788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: OH 5424) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |