NPI | 1962654509 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLENE PARKER President 765-506-2215 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041950A) |
Enumeration Date | 2008-10-14 |
Last Update Date | 2008-10-14 |