| NPI | 1780408203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONDON BUTTERFIELD Ap 727-300-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |