NPI | 1376572438 |
---|---|
Former Legal Business Name | PSYCHTECH |
Entity Type | Organization |
Authorized Contact | ROBERT MICHAEL MILLER President 626-429-4945 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2006-07-01 |
Last Update Date | 2019-06-27 |