| NPI | 1821184110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L. SCHULTZ President 219-462-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20010329A) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-07-01 |