| NPI | 1487422432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD FITZPATRICK President 415-494-9823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |