| NPI | 1972048098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY INMAN Licensed Psychologist 712-209-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO 4106) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 4106) |
| 103TC0700X Psychologist Clinical (Licence: HI 1577) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CO 4106) | |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2020-12-18 |