| 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 Mental Retardation & 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 |