| NPI | 1851569412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E. PICKERING Member 731-668-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P1223) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |