NPI | 1619754157 |
---|---|
Doing Business As | OAKLAND PSYCHOLOGICAL CLINIC PC |
Entity Type | Organization |
Authorized Contact | ELLIOTT RICHELSON Chief Medical Officer 904-456-0002 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2023-09-08 |
Last Update Date | 2023-09-08 |