| NPI | 1992901839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETHER SUMNER SPIVEY Clinical Psychologist 605-668-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SD 260) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |