NPI | 1669641114 |
---|---|
Former Legal Business Name | BRADLEY ESTES |
Entity Type | Organization |
Authorized Contact | DONELLA MARIE TURNER Office Manager 812-376-7981 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20042177A) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2008-02-28 |