| NPI | 1972723971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A SUHR Director Of Clinical Training 740-593-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2017-08-24 |