| NPI | 1144025735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LYNN CARPER Clinical Psychologist/Co Owner 689-240-6952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |