| NPI | 1013042506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD HUNTER Office Manager 502-458-4530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 947) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2014-06-05 |