| NPI | 1225360613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J WELTSCH Owner 619-218-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20348) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |