| NPI | 1922869288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MATTHEW GILBERT Owner/Licensed Psychologist 502-498-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2025-12-03 |