NPI | 1376043232 |
---|---|
Former Legal Business Name | WANDEE J. PRYOR, PSY.D., LLC |
Entity Type | Organization |
Authorized Contact | WANDEE JOHNSON PRYOR Psychologist 646-418-2652 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA PY60412791) |
Enumeration Date | 2018-02-17 |
Last Update Date | 2018-02-17 |