| NPI | 1013676139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA REECE Owner 945-253-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist, Counseling | |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2024-01-06 |