NPI | 1972611408 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY W JOHNSON Clinic Director 501-224-0416 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 7623P) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2020-08-22 |