NPI | 1215427067 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBYN NICOLE EUBANK Psychologist 765-748-8112 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041822A) |
Enumeration Date | 2018-05-17 |
Last Update Date | 2018-05-17 |