NPI | 1174223523 |
---|---|
Doing Business As | LISA MCMICHAEL |
Entity Type | Organization |
Authorized Contact | LISA ANN MCMICHAEL Psychologist 812-345-0492 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-08-16 |