| NPI | 1750742649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BALL Licensed Psychologist 888-785-0703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psb94022347) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2016-03-19 |