| NPI | 1154083558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SETH ALTER Provider/Owner 510-734-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-15 |