NPI | 1457575755 |
---|---|
Former Legal Business Name | ELAINE KLIONSKY, J.D., PH.D., LLC |
Entity Type | Organization |
Authorized Contact | ELAINE J KLIONSKY Licensed Psychologist 301-641-8406 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 03260) |
Additional Taxonomies | 103T00000X Psychologist (Licence: DC 1826) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2023-02-24 |