| NPI | 1780892349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS KENNETH USELDING President 317-873-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 57000045) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |