NPI | 1871999565 |
---|---|
Entity Type | Organization |
Authorized Contact | GRIFFIN POLLOCK SUTTON Owner, Member 910-803-1434 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 4633) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4633) |
Enumeration Date | 2014-11-07 |
Last Update Date | 2014-11-07 |