| NPI | 1770261943 |
|---|---|
| Doing Business As | HARLEY VANDE STREEK, PSYD, PSYCHOLOGICAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | HARLEY VANDE STREEK Owner 916-259-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |