NPI | 1760520944 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NH 133) |
Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: NH AD003482) |
103TA0700X Psychologist Adult Development & Aging (Licence: NH 133) | |
103TB0200X Psychologist Cognitive & Behavioral (Licence: NH 133) | |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: NH 133) | |
103T00000X Psychologist (Licence: NH 133) | |
103TF0000X Psychologist Family (Licence: NH 133) | |
103TH0100X Psychologist Health Service (Licence: NH 133) | |
103TS0200X Psychologist School (Licence: NH 22111) | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2010-11-03 |