| NPI | 1528578077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG F SPIEL Sole Member 740-274-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: UT 10181975-2501) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |