NPI | 1952466468 |
---|---|
Former Legal Business Name | EDELSON AND ASSOCIATES, PSC |
Entity Type | Organization |
Authorized Contact | STACY CLOYD Secretary 904-605-4986 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2006-12-26 |
Last Update Date | 2023-07-25 |