| NPI | 1023402047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY H GOLDMAN Owner/President 601-946-7482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MS R624144) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |