NPI | 1588660054 |
---|---|
Former Name | TONI RAE DOLLINGER BLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-8146) |
Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: AR E-8146) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX J5310) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E8146) | |
Enumeration Date | 2005-06-21 |
Last Update Date | 2018-12-03 |