| NPI | 1528208212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER L STEPHENS Clinical Psychologist 619-203-9123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21470) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |