| NPI | 1275390502 |
|---|---|
| Doing Business As | DEACONESS CLINIC - BEHAVIORAL HEALTH PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 104100000X Social Worker | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-28 |