| NPI | 1063531192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLEN STEVENS, PH.D. Psychologist 805-278-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY12171) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |