| NPI | 1326379470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RILEY LANE Clinical Psychologist/Owner 662-329-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 10140) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |