| NPI | 1699843995 |
|---|---|
| Former Name | PATRICK JON JEHLE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: KS 2139) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI 949) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-02-14 |