| NPI | 1013125376 |
|---|---|
| Other Name | MARY TERESA NEZWORSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 24487) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 24487) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 24487) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 24487) | |
| 103TH0004X Psychologist, Health (Licence: TX 24487) | |
| 103TH0100X Psychologist, Health Service (Licence: TX 24487) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TX 24487) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 24487) | |
| 103TS0200X Psychologist, School (Licence: TX 6535) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2012-03-02 |