| NPI | 1437432580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY LEE SHEPPARD President 502-893-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY KY1324) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |