OrganizationActive
Lighthouse Pediatric Therapy
NPI 1083365639 · Developmental - Behavioral Pediatrics Physician · Royal Oak, MI
Provider details
- NPI number
- 1083365639
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Allyson Andrews, Ceo
Mailing address
24600 Manistee St
Oak Park, MI 48237-1712
Registry dates
- Enumerated
- 2022-01-14
- Last updated
- 2022-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.