NPI | 1124311105 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE A ZEO Psychologist/Sole Proprietor 267-218-2601 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35si00465300) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PSO16227) |
Enumeration Date | 2011-05-24 |
Last Update Date | 2011-05-24 |