Spencer Manor Living Well

NPI #1750641452 in Burton, Michigan

Provider Information

NPI Number: 1750641452
Entity Type: Organization
Organization Name: Spencer Manor Living Well
Primary Specialty: Psychologist - Intellectual & Developmental Disabilities
Enumeration Date: May 29, 2012
Last Updated: May 29, 2012

Practice Location

Address: 2219 S TERM ST
City: Burton
State: Michigan
ZIP Code: 48519-1030
Phone: (810) 744-2777

Authorized Official

Name: MRS. PATRICIA MARIE ROYSTER
Title: OWNER
Phone: (810) 744-2777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X	Primary

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