| NPI | 1922011089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN A HUDSON Owner 317-962-2594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20040858A) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |