NPI | 1548751290 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH VINCENT ANGARELLA Operations Managager 747-389-3197 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA PSY19955) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY19955) | |
103TF0000X Psychologist, Family (Licence: CA PSY19955) | |
103TF0200X Psychologist, Forensic (Licence: CA PSY19955) | |
Enumeration Date | 2018-05-29 |
Last Update Date | 2019-09-06 |