| NPI | 1942997101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SUMMERFORD Psychologist 248-719-9254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |