| NPI | 1407785116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH CLAIRE BUCK Owner 317-348-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2026-05-18 |
| Last Update Date | 2026-08-11 |