| NPI | 1063585826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA L. HUBERT Owner 219-696-2859 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN HSPP20040912) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-11-09 |