NPI | 1487999579 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE DEACON SHOENBERGER Owner 775-219-9596 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0569) |
Enumeration Date | 2012-11-30 |
Last Update Date | 2013-02-27 |