| NPI | 1114245727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE DYKES Office Manager 858-531-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy20775) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA psy19734) |
| 103TC0700X Psychologist, Clinical (Licence: CA psy21903) | |
| 103TC0700X Psychologist, Clinical (Licence: CA psy21690) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |