NPI | 1548626807 |
---|---|
Entity Type | Organization |
Authorized Contact | ALPHONSO DAVIS Psychological Assistant 323-422-7138 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSB94021086) |
Enumeration Date | 2016-01-01 |
Last Update Date | 2016-01-01 |