| NPI | 1831363126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN KLITZKE President/Owner 865-588-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TN 1761) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |