NPI | 1376790188 |
---|---|
Former Name | BARBARA T MEEHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021927) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004962) |
103T00000X Psychologist (Licence: AZ 3983) | |
Enumeration Date | 2008-08-22 |
Last Update Date | 2021-12-29 |