A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI # | 1679622393 |
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| LBN Legal business name | FRONTIER PSYCHOLOGICAL ASSOCIATES, L C | ||||
| Authorized official | JULIET JETT - (CO-OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/10/2007 | ||||
| Last updated | 08/29/2022 - About 4 years ago | ||||
| Identifiers |
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