| NPI | 1447000112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CAMPBELL Owner And Licensed Psychologist 347-838-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-04-20 |