| NPI | 1295383099 |
|---|---|
| Former Legal Business Name | SHARI REVILLE, PH.D |
| Entity Type | Organization |
| Authorized Contact | SHARI REVILLE Clinical Psychologist 760-403-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |