| NPI | 1538464417 |
|---|---|
| Former Name | JOSHUA CHARLES FELVER-GANT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 021949) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2022-04-08 |