| 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 |