| NPI | 1295871663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BRENT WASSERMAN President Psychologist 818-718-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |