| NPI | 1790008209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA C SOLOMON Member/Owner 812-345-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AL 1584) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: AL 1584) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |