NPI | 1386327310 |
---|---|
Former Legal Business Name | NICOLE KIRSCH, PSY.D., LICENSED CLINICAL PSYCHOLOGIST, P.C. |
Entity Type | Organization |
Authorized Contact | NICOLE KIRSCH CEO/Owner 510-385-1646 |
Organization Subpart ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
261QD1600X Clinic/Center, Developmental Disabilities | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-08-08 |
Last Update Date | 2023-08-08 |