NPI | 1225194368 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL JOHN LONOWSKI President, Clinical Psychologist 318-443-2338 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 299) |
Enumeration Date | 2006-12-30 |
Last Update Date | 2012-06-25 |