| NPI | 1669698908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B MANSDORFER Psychologist 760-729-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy13625) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2009-03-11 |