NPI | 1568828176 |
---|---|
Entity Type | Organization |
Authorized Contact | GAGE STERMENSKY President/Psychologist 417-413-0085 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NE 885) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-01-12 |