| NPI | 1649866062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAGE EAKER Licensed Psychologist/Owner 984-245-6867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2020-12-20 |