| NPI | 1972958718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ESTES Neuropsychologist/Director 812-764-0733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20042177A) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IN 20042922A) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |