| NPI | 1205116712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL EDGAR ASHBY Psychologist 626-377-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 001166) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |