NPI | 1669717922 |
---|---|
Entity Type | Organization |
Authorized Contact | GLENN POTTS Owner/ Psychologist 909-904-4462 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 23630) |
Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: CA PSY 23630) |
Enumeration Date | 2012-11-27 |
Last Update Date | 2015-03-26 |