| NPI | 1457717993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH GLICK BRINEGAR Clinical Psychologist 937-259-8594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6749) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |