| NPI | 1255756565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DEAN ANDERSON Partner 812-797-7069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: SC 1073) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |