| NPI | 1114454238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SWANSON Clinical Psychologist 831-402-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA CA27001) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-07-21 |