NPI | 1487473575 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN BENNETT President 949-291-2736 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2024-10-07 |
Last Update Date | 2024-10-07 |