Total Spectrum Autism Services LLC

NPI #1932643590 in Georgetown, Indiana

Provider Information

NPI Number: 1932643590
Entity Type: Organization
Organization Name: Total Spectrum Autism Services LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Dec 15, 2016
Last Updated: Dec 15, 2016

Practice Location

Address: 515 MAPLEWOOD BLVD
City: Georgetown
State: Indiana
ZIP Code: 47122-9261
Phone: (502) 767-9405

Authorized Official

Name: KATERRELL LEON KENNEDY
Title: CEO
Phone: (502) 767-9405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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