| NPI | 1902235781 |
|---|---|
| Doing Business As | ADVANCED PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | HERBERT DALE MOORE Sole Member 985-781-8565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2014-02-24 |