| NPI | 1376659474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL MONTES Clinical Psychologist 626-449-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY7770) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-07-15 |