| NPI | 1972713295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA FRANCES PELLAND Owner & Manager 812-235-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040569A) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |