| NPI | 1174826499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOB D CASPALL Business Manager 901-603-9936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 11-16P) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2012-07-10 |