| NPI | 1629451703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISA PARKS President 510-427-7785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY24459) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY24459) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-08-25 |