A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
taxonomy 103T00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
New Foundations
Type code 3recorded 2024-09-16
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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