NPI | 1417251109 |
---|---|
Former Legal Business Name | BRADFORD J EATON PHD |
Entity Type | Organization |
Authorized Contact | BRADFORD J EATON President/Owner 274-335-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20041020A) |
Enumeration Date | 2011-01-10 |
Last Update Date | 2011-01-10 |