| NPI | 1467838409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN HIGGINBOTHAM Owner/Licensed Psychologist 317-643-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042135A) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |