| NPI | 1619599974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRITA MEHTA CEO/Licensed Clinical Psychologist 510-394-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2020-05-09 |