is a Clinical Child & Adolescent in , . practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for is 1720190234. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720190234 |
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Provider Mailing Address Detail
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Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
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| Taxonomy | 103Tc2200X |
| Licence No | 2531 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6107171 | NC | -- |
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