| NPI | 1144800855 |
|---|---|
| Doing Business As | CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PC |
| Entity Type | Organization |
| Authorized Contact | ELLIOTT RICHELSON President, Treasurer, Secretary 904-605-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2022-12-30 |