| NPI | 1245327477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEWEL A DELLA VALLE Office Manager 605-271-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2012-12-13 |