| 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 | |
| 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 |