| NPI | 1477266294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROLD YEO Member 878-227-9736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2023-01-27 |