A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Cognitive & Behavioral | 103TB0200X |
| Group Psychotherapy | 103TP2701X | |
| Health | 103TH0004X | |
| Rehabilitation | 103TR0400X |
* Indicates primary specialty
| NPI Number | 1710859970 |
| Credentials | PSYD (Doctor of Psychology) |
| Entity | Individual |
| Enumeration date | 09/18/2025 |
| Last updated | 03/18/2026 - About 3 months ago |
| Sole proprietor1 | No |
| Identifiers |
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| 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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