NPI | 1750820767 |
---|---|
Other Name | TABATHA STEWART, PSY.D |
Entity Type | Organization |
Authorized Contact | JAYLENE BOOTH Biller 559-797-6055 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21346) |
Enumeration Date | 2017-02-23 |
Last Update Date | 2017-02-23 |