| NPI | 1811506769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY DELONEY Owner/Provider 317-476-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |