NPI | 1811246507 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK JAY BAUME President, Baume Psychological Serv 317-706-6744 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042084A) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2017-01-05 |