| NPI | 1801590781 |
|---|---|
| Former Name | HALEY MARIE BEDNARZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 40212) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: SC 1813) |
| 103TC0700X Psychologist, Clinical (Licence: SC 1813) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-05-30 |