| NPI | 1285013474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WARREN MACELLARI President 574-254-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20040273) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |