NPI | 1336324011 |
---|---|
Other Name | JERRY STEIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G19707) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: AR E-6288) |
102L00000X Psychoanalyst (Licence: CO 22923) | |
102L00000X Psychoanalyst (Licence: MO 2012013495) | |
Enumeration Date | 2007-12-31 |
Last Update Date | 2023-10-12 |