| NPI | 1083459549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKYLER SHOLLENBARGER Secretary/Clinical Psychologist 931-219-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-05-05 |