| NPI | 1346727971 |
|---|---|
| Former Name | WHITNEY L MYERS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3288) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: WI 22082) | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2024-11-19 |