| NPI | 1346751401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN A DOUP Director/Clinical Psychologist 812-657-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042503A) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |