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 |