| NPI | 1649560376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON DOUGLAS PARSONS Owner 501-205-0703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 10-25p) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |