| NPI | 1205615614 |
|---|---|
| Other Name | STEPHANIE LORD, PHD, CLINICAL PSYCHOLOGIST INC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LORD President 858-215-1432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |