| NPI | 1184793671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE K DEUTSCH Owner President 949-633-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY15997) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY15997) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY15997) | |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY15997) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY15997) | |
| 103T00000X Psychologist (Licence: CA PSY15997) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CA PSY15997) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-10-10 |