| NPI | 1366725764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA THOMAS Owner 510-337-9452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TF0000X Psychologist, Family |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |