NPI | 1033578018 |
---|---|
Doing Business As | MAGNOLIA BEHAVIORAL PSYCHOLOGY |
Entity Type | Organization |
Authorized Contact | EVAN HENRY DART Licensed Psychologist 985-373-1497 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MS 55978) |
Enumeration Date | 2016-02-18 |
Last Update Date | 2016-09-29 |