| 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 |