| NPI | 1932378270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYCHAL D WALKER Office Manager 270-408-4192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KY 850) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-06-05 |