Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical |
| NPI Number | 1205226891 |
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| LBN Legal business name | ELAN ACADEMIES | ||||
| Authorized official | MIMA RANSOM - (BUSINESS MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/03/2015 | ||||
| Last updated | 02/03/2015 - About 11 years ago | ||||
| Identifiers |
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ELAN ACADEMIES
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