| NPI | 1588859524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON MARY MCDONALD Office Manager 812-479-1856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20010339) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |