| NPI | 1417154931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY F. ZEMANSKY Owner 219-928-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041368A) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2012-01-13 |