| NPI | 1558587501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE HARRISON Owner 812-786-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040762a) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |