NPI | 1710692553 |
---|---|
Doing Business As | SMALL BROOKLYN PSYCHOLOGY |
Entity Type | Organization |
Authorized Contact | TARYN BOLEY Practice Manager 619-916-7278 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2023-01-17 |
Last Update Date | 2023-01-17 |