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 |