| NPI | 1043752108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA CALDWELL Chief Psychologist 859-963-3563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 168204) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |