NPI | 1508910449 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN MARIE SULLIVAN Clinical Director 559-271-1186 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY7395) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY14397) |
103TC0700X Psychologist, Clinical (Licence: CA PSY10706) | |
103TC0700X Psychologist, Clinical (Licence: CA PSY13503) | |
103TC0700X Psychologist, Clinical (Licence: CA PSY16553) | |
103TC0700X Psychologist, Clinical (Licence: CA PSY17724) | |
103TC0700X Psychologist, Clinical (Licence: CA PSY20803) | |
1041C0700X Social Worker, Clinical (Licence: CA LCS19049) | |
106H00000X Marriage & Family Therapist (Licence: CA MFC24833) | |
106H00000X Marriage & Family Therapist (Licence: CA MFC42565) | |
106H00000X Marriage & Family Therapist (Licence: CA MFC42432) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G34063) | |
Enumeration Date | 2007-01-22 |
Last Update Date | 2018-12-05 |