| NPI | 1497946529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY G SPRINGATE Owner 859-277-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 1082) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0432) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |