| NPI | 1366490161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LOUIS BERARDI Clinical Psychologist/Co Director 574-232-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20010290A) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-03-17 |