| NPI | 1124231436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY POWERS Physician 605-341-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SD 369) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 1148) |
| 103TC0700X Psychologist Clinical (Licence: SD 369) | |
| 103TC0700X Psychologist Clinical (Licence: CO 1148) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-04-01 |