NPI | 1417185687 |
---|---|
Former Name | STEPHANIE M CHADSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2925) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2925) |
Enumeration Date | 2009-06-26 |
Last Update Date | 2024-09-11 |