NPI | 1538570825 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY H. FREEMAN Licensed Psychologist 515-257-7155 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 08100004905) |
Enumeration Date | 2014-05-08 |
Last Update Date | 2022-07-25 |