| NPI | 1003218942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARLAN K HIGGINBOTHAM Psychologist 805-364-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26572) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |