| NPI | 1326308768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MITCHELL Owner/Psychologist 650-394-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CA PSY23699) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY23699) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CA PSY23699) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY23699) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY23699) | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2013-12-12 |