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 |