| NPI | 1104161439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TRACY HAHN Owner 619-917-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY19168) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |