| NPI | 1497149876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY PEERY Owner 415-218-6915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 21904) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 21904) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |