| NPI | 1689643603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LAYNE Clinical Psychologist 419-475-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 2973) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |