A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Forensic | 103TF0200X |
| Clinical | 103TC0700X | |
| Clinical Neuropsychologist | 103G00000X | |
| Prescribing (Medical) | 103TP0016X |
* Indicates primary specialty
| NPI Number | 1811198906 |
| Credentials | PHD PSYCH |
| Entity | Individual |
| Enumeration date | 05/29/2007 |
| Last updated | 03/14/2023 - About 3 years 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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