| NPI | 1154076420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE SUMMERHAYES President 510-838-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2023-06-23 |