| NPI | 1063870764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WHITMAN Psychologist 310-622-3695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY21428) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |