| 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 |