| NPI | 1740526334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN B LUCAS Psychologist 765-254-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IN 20040571A) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |