| NPI | 1174727309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY A SULLIVAN Owner 423-952-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TN 103GC0700X) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2008-05-22 |