NPI | 1477806818 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN GUIDO GEIRLAND Licensed Psychologist 747-333-8148 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy25197) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA psy25197) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA psy25197) | |
103TC0700X Psychologist, Clinical (Licence: CA psy25197) | |
Enumeration Date | 2012-10-23 |
Last Update Date | 2012-10-23 |