| NPI | 1992108872 |
|---|---|
| Doing Business As | IP |
| Entity Type | Organization |
| Authorized Contact | JOHN C. WEIKS Owner 616-822-9714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301004073) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |