Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1871855916 |
| LBN Legal business name | ACT FOR MENTAL HEALTH |
| Authorized official | ANNA NGUYEN - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/14/2012 |
| Last updated | 10/04/2023 - About 3 years ago |
| Identifiers | n/a |
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