NPI | 1952610206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: OK 1257) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P1302012) |
103G00000X Clinical Neuropsychologist (Licence: AR 15-04P) | |
103G00000X Clinical Neuropsychologist (Licence: MO 2015016464) | |
103G00000X Clinical Neuropsychologist (Licence: OK 1257) | |
103TC0700X Psychologist, Clinical (Licence: AR 15-04P) | |
103TC0700X Psychologist, Clinical (Licence: MO 2015016464) | |
103TC0700X Psychologist, Clinical (Licence: KS 2416) | |
103TH0100X Psychologist, Health Service (Licence: MO 2015016464) | |
103TS0200X Psychologist, School (Licence: TX 32763) | |
Enumeration Date | 2010-10-05 |
Last Update Date | 2022-05-24 |