NPI | 1750999546 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER BERTSCH Owner/Psychologist 559-999-1639 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
103TA0700X Psychologist, Adult Development & Aging | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TF0200X Psychologist, Forensic | |
103TH0004X Psychologist, Health | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
103TP2701X Psychologist, Group Psychotherapy | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2020-07-17 |
Last Update Date | 2024-11-13 |