NPI | 1083914253 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK DEAN CHRISMAN Secretary 510-652-7011 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
Additional Taxonomies | 103TC0700X Psychologist Clinical |
Enumeration Date | 2010-10-22 |
Last Update Date | 2010-10-22 |