NPI | 1336624154 |
---|---|
Doing Business As | LGBTQ PSYCHOLOGICAL SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | PAIGE LEIGH BAKER BRAXTON Ownder 779-800-9217 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2018-09-27 |
Last Update Date | 2018-09-27 |