| NPI | 1306375969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE LOWE Office Manager 619-203-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY21344) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-07-21 |