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 |