| NPI | 1326565300 |
|---|---|
| Other Name | JAMIE KNORR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: UT 9791721-2501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 9791721-2501) |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2020-04-24 |