NPI | 1518526607 |
---|---|
Former Legal Business Name | DR. HAYLEY PEDERSEN |
Entity Type | Organization |
Authorized Contact | HAYLEY PEDERSEN Owner/Clinical Psychologist 949-236-6155 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2019-06-12 |
Last Update Date | 2024-05-02 |