NPI | 1477162741 |
---|---|
Former Legal Business Name | DYSON PSYCHOLOGICAL SERVICES, INC. |
Entity Type | Organization |
Authorized Contact | JENNIFER ANN DYSON Licensed Clinical Psychologist 620-204-8504 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2020-07-23 |
Last Update Date | 2020-07-23 |