NPI | 1003001009 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD A KOTKIN Clinical Professor 949-824-6292 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA psy12351) |
Enumeration Date | 2007-09-12 |
Last Update Date | 2007-09-14 |