| NPI | 1356684724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE HOVSEPIAN Psychologist 858-272-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21538) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |