NPI | 1144230483 |
---|---|
Former Name | ANN LEIGH BRYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810004140) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WV 917) |
103TC0700X Psychologist Clinical (Licence: GA PSY003046) | |
Enumeration Date | 2006-08-09 |
Last Update Date | 2018-10-26 |