| NPI | 1891073797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL D EISENMAN Owner 678-263-8512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA Psy003084) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2015-11-10 |