| NPI | 1306634654 |
|---|---|
| Doing Business As | OPAL PSYCHOLOGICAL |
| Entity Type | Organization |
| Authorized Contact | LADERA NICOLE PEREZ LINN President 619-259-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |