| NPI | 1942657036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XANDER PHOENIX Owner 412-819-5462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |