| NPI | 1962558015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA ANN KOHR Psychologist 302-567-1695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY636) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2025-01-09 |