| NPI | 1417093915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J CONNOR Psychologist 859-341-5782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 1007) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |