| NPI | 1376602151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA RODGERS Office Manager 812-314-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103K00000X Behavior Analyst (Licence: IN 1-12-11909) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2014-06-23 |