| NPI | 1396172342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BAUMAN DEATON Owner 213-400-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2023-12-06 |