| NPI | 1386930063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY HUGHES Patient Account Lead 812-238-7783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20041251A) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |