| NPI | 1104247337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA SOUDER Owner/President/Psychologist 260-498-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042225A) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 207Q00000X Family Medicine | |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |