| NPI | 1578766184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GLASS C.E.O. 626-449-9548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY13687) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY13687) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY13687) | |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2020-08-22 |