| NPI | 1578398756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN ROBERT KALETA Owner 440-241-5761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-11 |