NPI | 1629358783 |
---|---|
Other Name | VANESSA TALKINGTON MICHAEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017070) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS017070) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS017070) | |
103TS0200X Psychologist, School (Licence: PA PS017070) | |
Enumeration Date | 2011-08-22 |
Last Update Date | 2019-01-28 |