| NPI | 1487674099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURY THEODORE CARLIN President Clinical Psychologist 818-783-3836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy3068) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |