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 |