| NPI | 1740387828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD ALEXANDER Owner 330-296-2809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 3504) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-04-14 |