| NPI | 1508204082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY HOYT Owner/Physician 619-203-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY16717) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA PSY16717) |
| 101YP2500X Counselor, Professional (Licence: CA PSY16717) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY16717) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY16717) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY16717) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY16717) | |
| 106H00000X Marriage & Family Therapist (Licence: CA PSY16717) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |