| NPI | 1598124661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY K PRICE Owner 859-428-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KY KY - 1514) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |