| NPI | 1659435873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES WALSH Owner 219-921-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 57000092A) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |