| NPI | 1063689545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIGI PINNELL STOWE Owner 812-961-3837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042141A) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2009-02-04 |