| NPI | 1235304734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY O'DONNELL Clinical Psychologist 317-408-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20041754A) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |