NPI | 1477736783 |
---|---|
Entity Type | Organization |
Authorized Contact | AVERY H BRATT Psychologist 913-383-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 1205) |
Enumeration Date | 2007-12-10 |
Last Update Date | 2008-05-07 |