| NPI | 1053534404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE KRAUS HIDEG Sole Propietor 270-442-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KY 1317) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-06-22 |