| NPI | 1639387590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA R MARSHALL Owner 812-824-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041898A) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |