| NPI | 1750368999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J GITLIN Prof Of Clin Psy Chair & Director 310-825-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2022-08-31 |