NPI | 1821704487 |
---|---|
Former Legal Business Name | JODIE NEWDELMAN, PSYD |
Entity Type | Organization |
Authorized Contact | JODIE NEWDELMAN Owner 415-717-2626 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TH0004X Psychologist, Health |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2023-01-26 |
Last Update Date | 2023-10-17 |