| NPI | 1629411319 |
|---|---|
| Doing Business As | MEDICAL PSYCHOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | SCOTT DEVERE WYLIE Owner 888-666-0974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: CO 2962) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 2962) |
| 103TC0700X Psychologist Clinical (Licence: CO 2962) | |
| 103TP0016X Psychologist Prescribing (Medical) (Licence: CO 2962) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2018-04-07 |