| NPI | 1740408095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI M CARMAN Practice Manager 859-269-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY KY-1067, OH-5037) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-04-08 |