| NPI | 1982126660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SEIGLER Licensed Clinical Psychologist 270-303-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KY 168289) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: KY 168289) |
| 103T00000X Psychologist (Licence: KY 168289) | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |