| NPI | 1003040395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THOMAS ELDER Clinical Neuropsychologist 404-493-4381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY002698) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-08-15 |