| NPI | 1649325408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE J WEESNER Psychologist President 317-815-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040841A) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |