| NPI | 1669864302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDDY ADELSTEIN President 415-381-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 12543) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA 12543) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2022-06-01 |