| NPI | 1700219458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI R STEMBEL Owner/Auth. Official 765-366-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041072A) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2025-06-16 |