| NPI | 1578996492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE TART ALLEN Licensed Psychologist 919-669-1685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003583) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |