| NPI | 1467189217 |
|---|---|
| Former Legal Business Name | ELEVATE PSYCHOLOGICAL SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | TARA B BOGS Psychologist/ Owner 401-626-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |