| NPI | 1346700275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS WISDOM Director/Clinical Neuropsychologist 888-606-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-10-11 |