| NPI | 1194261123 |
|---|---|
| Doing Business As | HUDSON FORENSIC PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | CLIFTON ROBERT HUDSON Sole Proprietor 800-983-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: WV 908) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WV 908) |
| 103TC0700X Psychologist Clinical (Licence: WV 908) | |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2017-01-14 |