NPI | 1821208000 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN GERARD ROSS Psychologist 260-436-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040536A) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2008-03-03 |