| NPI | 1467051458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY RASBY School Psychologist 704-517-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TE1100X Psychologist Exercise & Sports | |
| 103TF0000X Psychologist Family | |
| 103TH0004X Psychologist Health | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 133NN1002X Nutritionist Nutrition, Education | |
| 174200000X Meals | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |