NPI | 1952309296 |
---|---|
Doing Business As | CENTER FOR PSYCHOLOGY, PA |
Entity Type | Organization |
Authorized Contact | STEVEN D COHEN President 239-278-3443 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY0003794) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: FL PY3794) |
103TC0700X Psychologist, Clinical (Licence: FL PY3794) | |
Enumeration Date | 2005-07-11 |
Last Update Date | 2022-04-11 |