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 |