Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional |
| NPI Number | 1669365185 |
| LBN Legal business name | EVERY BODY PSYCHOTHERAPY PLLC |
| Authorized official | HEATHER CLARK - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/02/2025 |
| Last updated | 06/02/2025 - More than a year ago |
| Identifiers | n/a |
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