NPI | 1184062655 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW WEISSKOPF Owner 858-232-6136 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21048) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2022-12-01 |