| NPI | 1992839591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LAMAN Psychologist 616-534-4953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301011127) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-12-04 |