| NPI | 1508896416 |
|---|---|
| Doing Business As | DIABLO VALLEY PSYCHOTHERAPY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | GEORGE KENNETH BRADFORD Psychologist/Owner 925-283-9377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY12277) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY12277) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-03-04 |