| NPI | 1063637049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANCE LEE SHEPPERSON Clinical Psychologist 714-992-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy 6775) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-03-06 |