NPI | 1790411130 |
---|---|
Entity Type | Organization |
Authorized Contact | AYCA BYERLEY Neuropsychologist/Owner 317-806-0209 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
103TC0700X Psychologist Clinical | |
1041C0700X Social Worker Clinical | |
Enumeration Date | 2022-07-27 |
Last Update Date | 2022-09-22 |