| NPI | 1992926455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE H. WILEY President 248-250-2508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071007245) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC0700X Psychologist, Clinical (Licence: IL 071007245) | |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |