| NPI | 1679758650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA J HAYES Sole Proprietor 937-436-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 4580) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |