| NPI | 1760609259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MYLES MASINO Owner 404-242-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA 003043) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |