| NPI | 1528589223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MICHAEL DUNCAN Sole And Managing Member 914-447-8986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021732) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 003659) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60602588) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 4876) | |
| 103TF0200X Psychologist, Forensic (Licence: NY 021732) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2018-04-25 |