| NPI | 1245862770 |
|---|---|
| Doing Business As | SOUTHBAY PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | NORA TAYLOR Clinical Psychologist 424-262-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TP0814X Psychologist, Psychoanalysis | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2022-09-17 |