NPI | 1124548698 |
---|---|
Former Name | MEREDITH TAYLOR DRYMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: VA 0810006298) |
Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: MD 718654) |
103TB0200X Psychologist Cognitive & Behavioral (Licence: DC PSY1001554) | |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: MA 11088) | |
Enumeration Date | 2017-06-26 |
Last Update Date | 2022-07-21 |