NPI | 1346585908 |
---|---|
Other Name | SUSAN J. NOVAK, PHD |
Entity Type | Organization |
Authorized Contact | SUSAN JOY NOVAK President/Clinical Psychologist 949-297-6680 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA PSY22415) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA PSY22415) |
Enumeration Date | 2012-12-06 |
Last Update Date | 2020-03-03 |