NPI | 1730574286 |
---|---|
Doing Business As | NEW PATH PSYCHOLOGY |
Other Name | NEW PATH PSYCHOLOGY, PLLC |
Entity Type | Organization |
Authorized Contact | JESSICA ANDERTON Owner/Provider 904-900-3594 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7468) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2015-04-01 |
Last Update Date | 2024-04-18 |