NPI | 1154767515 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCAS ADAM KLEIN President/Licensed Psychologist 619-244-0336 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003257) |
Enumeration Date | 2013-05-13 |
Last Update Date | 2013-08-06 |