| NPI | 1811108053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. CLARK HEINDEL Psychologist 478-456-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: GA 002415) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2020-08-22 |