| NPI | 1942591292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN UNDERWOOD Licensed Psychologist 502-314-0546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 1330) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-05-18 |