| NPI | 1528856531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR OLSON Secretary 858-945-7421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| 103TP0814X Psychologist, Psychoanalysis | |
| 103TR0400X Psychologist, Rehabilitation | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-07-30 |