| 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 |