NPI | 1366001034 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS VAKOCH Chief Executive Officer 510-612-0097 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2019-06-06 |
Last Update Date | 2020-01-12 |