| NPI | 1376922617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVINGLY QUITANIA PARK Neuropsychologist 818-800-8697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY25525) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |