| NPI | 1730454653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN KOEGEL Clinic Director 805-893-2049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 24597) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |