| NPI | 1053857821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI KRICHIVER Clinical Psychologist 317-528-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042554A) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |