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A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
103TH0100X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1114762291 |
| LBN Legal business name | BEYOND THE COUCH THERAPY SERVICES, PLLC |
| Authorized official | JESSICA KLEMENT - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/28/2024 |
| Last updated | 06/28/2024 - More than a year ago |
| Identifiers | n/a |
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