| NPI | 1457650673 |
|---|---|
| Former Name | MEGHAN KELLY DURKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8252) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8252) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2014-09-08 |