A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Addiction (Substance Use Disorder) | 103TA0400X |
* Indicates primary specialty
| NPI Number | 1992315519 |
| Credentials | |
| Entity | Individual |
| Enumeration date | 08/07/2020 |
| Last updated | 08/07/2020 - About 6 years ago |
| Sole proprietor1 | No |
| Identifiers | n/a |
| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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