| NPI | 1508698598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM STOKER Owner/Licensed Psychologist 424-222-5257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2024-08-17 |
| Last Update Date | 2024-08-17 |