| NPI | 1710097696 |
|---|---|
| Doing Business As | ISU PSYCHOLOGY CLINIC-FACULTY PRACTICE SVCS |
| Entity Type | Organization |
| Authorized Contact | JUNE SPROCK Clinic Director 812-237-3317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |