| NPI | 1205100393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH GORDON BLOUNT Sole Proprietor 760-322-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY8495) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |