NPI | 1083859557 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK A. HERRMANN President 812-331-0946 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 57000132A) |
Enumeration Date | 2008-12-11 |
Last Update Date | 2008-12-11 |