| NPI | 1245277227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PATRICK GANNON President 858-705-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY12034) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2024-08-28 |