Organization · Type 2 NPI
Spencer Manor Living Well
Intellectual & Developmental Disabilities Psychologist · Burton, MI
NPI number
1750641452
Active
Practice location
2219 S Term St
Burton, MI 48519-1030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | AS250306594 (MI) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1750641452
Spencer Manor Living Well's National Provider Identifier is 1750641452, issued on May 29, 2012. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Burton, MI. The record was last updated on May 29, 2012.