NPI | 1790282192 |
---|---|
Doing Business As | POTENTIALITY COUNSELING & PSYCHOTHERAPY |
Entity Type | Organization |
Authorized Contact | STEFAN CARL DOMBROWSKI Clinical Director 856-745-6291 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NJ 35SI00420600) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2021-09-14 |