| NPI | 1538810080 |
|---|---|
| Doing Business As | DELTA-WAVERLY PSYCHOLOGY AND COUNSELING ASSOCIATES PLC |
| Entity Type | Organization |
| Authorized Contact | ELLIOTT RICHELSON President, Treasurer, Secretary 904-605-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-12-30 |