| NPI | 1467817551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL MARK SCLAR Psychologist 650-341-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY8903) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |