| 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 |