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 | Specialty Code | Provider Type | |
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Family |
103TF0000X | 62 | Psychologist, Clinical | |
Group Psychotherapy |
103TP2701X | 62 | Psychologist, Clinical | |
Health Service |
103TH0100X | 62 | Psychologist, Clinical |
| NPI Number | 1205023884 |
| LBN Legal business name | HEALTHCORE |
| Authorized official | ANGELA WILSON - (PROGRAM MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/27/2007 |
| Last updated | 10/27/2007 - About 19 years ago |
| Identifiers | n/a |
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