| NPI | 1477539237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M HENRY EVP 800-677-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-12-14 |