| NPI | 1285154450 |
|---|---|
| Doing Business As | SOUTH COAST PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | DIMITRA TAKOS Licensed Clinical Psychologist 949-701-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 21903) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-07-21 |