NPI | 1396278024 |
---|---|
Other Name | JEFF REZNICEK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY27790) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO PSY4818) |
Enumeration Date | 2017-04-10 |
Last Update Date | 2021-08-25 |