| NPI | 1902234545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KREIG DOUGLAS ROOF Neuropsychologist 615-778-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN P0000001721) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-23 |