| NPI | 1497921332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON EDWARD BECKNELL Clinical Psychologist 937-684-2035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5682) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2014-02-24 |