| NPI | 1104504844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY SIMS Owner 812-340-4219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-28 |