NPI | 1093431710 |
---|---|
Entity Type | Organization |
Authorized Contact | ABBIE JONES Psychologist; Owner 812-214-5152 |
Organization Subpart ? | No |
Primary Taxonomy | 103TH0100X Psychologist, Health Service |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist | |
103TC0700X Psychologist, Clinical | |
207Q00000X Family Medicine | |
261QH0100X Clinic/Center, Health Services | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QP2300X Clinic/Center, Primary Care | |
261QR1300X Clinic/Center, Rural Health | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2022-10-14 |
Last Update Date | 2024-06-04 |