| NPI | 1023254547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A BOYLES Clinical Neuropsychologist 502-432-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TH0100X Psychologist, Health Service | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |