NPI | 1538277934 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN MARK HERMAN Sole Proprietor 317-334-1481 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040762A) |
Enumeration Date | 2006-08-26 |
Last Update Date | 2008-06-18 |