| NPI | 1902076516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANTHONY EBBEN President/Psychologist 502-848-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY INSIGHT010) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |