| NPI | 1700498979 |
|---|---|
| Doing Business As | NORTHSIDE PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOYCE A. MONTES General Counsel 540-710-6085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |