Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist |
NPI | 1215326988 |
---|---|
Provider Name | Deanna Felix |
First Address | Hudson, MA 01749-1902 |
Second Address | Hudson, MA 01749-1902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2015 |
Last Update Date | 17/01/2015 |