| NPI | 1689097842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G DAVIDSON-METHOT Owner 530-210-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 18748) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-05-19 |