| NPI | 1265824122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT QUINBY Psychologist 812-633-9194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042834A) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2024-04-24 |