| NPI | 1790955334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE M BENNETT Pres/CEO 502-376-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KY 129055) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: KY 1034) |
| 103TC0700X Psychologist, Clinical (Licence: KY 1034) | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2022-07-21 |