| NPI | 1437809746 |
|---|---|
| Doing Business As | PRISM PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LAVIOLA Owner 714-614-5169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-31 |