| NPI | 1215126404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE M SWAIN Psychologist/Owner 818-385-0913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 16330) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA 16330) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 16330) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 16330) | |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2008-02-23 |