| NPI | 1396174801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH K DOWNING Sole Member 479-443-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 12-16P) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2014-02-12 |