Organization
LIGHTHOUSE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLYSON DOLL ANDREWS (CEO)
(313) 285-3978
Entity
Organization
Contact information
Practice address
11174 E 13 MILE RD, WARREN, MI 48093-2559
(313) 285-3978
Mailing address
11174 E 13 MILE RD, WARREN, MI 48093-2559
(313) 285-3978
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
06/22/2026
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