| NPI | 1548394943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MICHELE THOMAS Licensed Psychologist 270-843-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY Psychologist 1311) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |