| NPI | 1881853182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA C. JESSEN Executive Director 812-479-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 210257A) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |