| NPI | 1093201808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PAGE CLAWSON Owner 812-470-6589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042290A) |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2018-07-04 |