| NPI | 1780251124 |
|---|---|
| Doing Business As | NICHOLAS HACK PSYCHOTHERAPY, INC. |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS HACK Clinical Psychologist 707-564-7579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |