NPI | 1033216254 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID JOHN BENDER President 865-984-7567 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P601) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |