| NPI | 1790922078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELVY HAYWOOD KEGLAR President 317-923-3930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20040520A) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2021-05-10 |