# UNIQUELY AUTISTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265322465
- **Authorized official:** CYNTHIA FOSTER CMA (OWNER)
- **Authorized official phone:** (586) 696-3711

## Contact information

- **Practice address:** 27871 ONEIL ST, ROSEVILLE, MI 48066-3022
- **Practice address phone:** (586) 696-3711
- **Mailing address:** 27871 ONEIL ST, ROSEVILLE, MI 48066-3022
- **Mailing address phone:** (586) 696-3711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2025
- **Last updated:** 07/10/2025
