NPI | 1194791533 |
---|---|
Other Name | BRENT FARRELL FLETCHER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A96149) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A96149) |
Enumeration Date | 2006-02-26 |
Last Update Date | 2022-06-08 |