| NPI | 1285904094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J. MCPHERSON Psychologist 542-342-7230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 593) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 593) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |