| NPI | 1124674908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SLONAKER President/Owner 317-830-5859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2022-08-26 |