| NPI | 1992302228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN S ROBINSON Clinical Neuropsychologist 517-614-3697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2021-12-20 |