NPI | 1851427546 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL JEFFREY HAUSCHILD President 260-471-8033 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040731A) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-08-22 |