| NPI | 1417314774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN LESLIE MENDELSON Psychologist 650-328-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy11233) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |