| NPI | 1386811776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAIRD BRIDGMAN President 949-707-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY14510) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC28928) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |