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 |