Organization
COGNITIVE INSIGHT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOBY KELLK-HAMANN PSYD (FOUNDER/PRESIDENT)
(248) 629-0079
Entity
Organization
Contact information
Practice address
26789 WOODWARD AVE STE 209, HUNTINGTON WOODS, MI 48070-1334
(248) 629-0079
(248) 939-9569
Mailing address
26789 WOODWARD AVE STE 209, HUNTINGTON WOODS, MI 48070-1334
(248) 629-0079
(248) 939-9569
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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