| NPI | 1104160043 |
|---|---|
| Doing Business As | BASTYR UNIVERSITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MOIRA PYLE FITZPATRICK Vice President 858-246-9701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND-556) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY11413) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |