NPI | 1154691533 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE WARNER Licensed Psychologist 541-621-5104 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 2183) |
Enumeration Date | 2012-01-03 |
Last Update Date | 2012-01-03 |