NPI | 1548460983 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSS AARON EVERHARD President 859-342-6444 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 1291) |
Enumeration Date | 2007-07-24 |
Last Update Date | 2007-07-24 |