| NPI | 1053506246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J CARBARY President/CEO 859-373-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KY KY-1308) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |