| NPI | 1396124160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA E CAREY Partner 304-554-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-11-23 |