NPI | 1407012727 |
---|---|
Former Name | TRICIA CASEY BYARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100512400) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 35S100512400) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 35S100512400) | |
103TC0700X Psychologist, Clinical (Licence: NY 081572) | |
103TC0700X Psychologist, Clinical (Licence: NJ 35S100512400) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35S100512400) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: NJ 35S100512400) | |
103TS0200X Psychologist, School (Licence: NJ 751645) | |
Enumeration Date | 2008-08-06 |
Last Update Date | 2020-12-21 |