| NPI | 1942997101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SUMMERFORD Psychologist 248-719-9254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2025-01-14 |