| NPI | 1710250113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL W. PULS Licensed Clinical Psychologist 562-945-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17684) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY17684) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY17684) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS15752) | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |