| NPI | 1184925448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LADONNA THOMPSON Doctor Of Clinical Psychology 408-802-6391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA PSY23594) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |