| NPI | 1326527581 |
|---|---|
| Doing Business As | SAM HIMELSTEIN PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | SAM HIMELSTEIN CEO 510-247-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25229) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY25229) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY25229) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY25229) | |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY25229) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY25229) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2019-07-13 |