NPI | 1881863686 |
---|---|
Entity Type | Organization |
Authorized Contact | SYDNEY F ANDERSON Owner 812-331-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20040198A) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20040198A) |
Enumeration Date | 2008-02-26 |
Last Update Date | 2008-02-26 |