| NPI | 1528505237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORY DEBORAH PEPPER Licensed Clinical Psychologist 858-695-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY18383) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |