NPI | 1063565745 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY A ROBINSON Vice President 925-777-9540 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY15066) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY15066) |
103T00000X Psychologist (Licence: CA PSY15066) | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-08-22 |