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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Mental Health |
261QM0850X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical |
| NPI # | 1265616502 |
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| LBN Legal business name | LAURENCE S. AYLESWORTH, PH.D. & ASSOCIATES, INC. | ||||
| Authorized official | LAURENCE AYLESWORTH - (DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/21/2007 | ||||
| Last updated | 08/10/2015 - About 11 years ago | ||||
| Identifiers |
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LAURENCE S. AYLESWORTH, PH.D. & ASSOCIATES, INC.