| NPI | 1376075440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYOTHSNA BHAT Psyd, Owner 267-991-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-31 |