NPI | 1689173759 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN S SEDGELEY President 510-788-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27612) |
Enumeration Date | 2018-02-05 |
Last Update Date | 2021-04-12 |