| NPI | 1710394911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOSHUA MADDOX Clinical Psychologist 408-357-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25909) |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2015-10-02 |