| NPI | 1740671411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN STRADA Director 562-799-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 22500) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA PSY 22500) |
| 101YM0800X Counselor Mental Health (Licence: CA PSY 22500) | |
| 103G00000X Clinical Neuropsychologist (Licence: CA PSY 22500) | |
| 103T00000X Psychologist (Licence: CA PSY 22500) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY 22500) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY 22500) | |
| 103TC1900X Psychologist Counseling (Licence: CA PSY 22500) | |
| 103TF0000X Psychologist Family (Licence: CA PSY 22500) | |
| 103TF0200X Psychologist Forensic (Licence: CA PSY 22500) | |
| 103TH0004X Psychologist Health (Licence: CA PSY 22500) | |
| 103TR0400X Psychologist Rehabilitation (Licence: CA PSY 22500) | |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |