| NPI | 1134899149 |
|---|---|
| Former Name | JOSEPH DONOVAN MAISEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06681) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06681) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2024-04-08 |