| NPI | 1396043378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BAUM Psychologist 510-287-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17497) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |