NPI | 1417658576 |
---|---|
Former Legal Business Name | ROOTS PSYCHOLOGY, PLLC |
Entity Type | Organization |
Authorized Contact | MICHAEL ROBERT DURR Licensed Psychologist 828-412-3144 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
Enumeration Date | 2023-03-15 |
Last Update Date | 2024-03-28 |