NPI | 1528181476 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNE TRIFONE President 219-921-0705 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040996) |
Enumeration Date | 2007-04-07 |
Last Update Date | 2011-09-16 |