| NPI | 1477035202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT R BERRY Licensed Psychologist/Owner 812-510-3727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042200A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001752A) |
| 101YM0800X Counselor, Mental Health (Licence: KY 163555) | |
| 103TC0700X Psychologist, Clinical (Licence: KY 130408) | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-09-13 |