| NPI | 1639290299 |
|---|---|
| Former Legal Business Name | NEUROSMART, INC. |
| Entity Type | Organization |
| Authorized Contact | KATHRYN C BLACK President 770-889-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-04-14 |