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, Intellectual & Developmental Disabilities | |
103TS0200X Psychologist, School | |
Enumeration Date | 2017-08-29 |
Last Update Date | 2024-09-27 |