| NPI | 1992061501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE AMBURGEY Psychologist 606-633-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 0148) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-25 |