| NPI | 1669582979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK RICHARD CLIPSON Psychologist 619-260-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 7669) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 7669) |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY 7669) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |