NPI | 1770355398 |
---|---|
Doing Business As | PSYCHOLOGICAL EVALUATION CENTER OF NORTH AMERICA (PECNA) |
Entity Type | Organization |
Authorized Contact | IRADA WATTANAVITUKUL Clinical Director 949-949-0002 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2023-10-26 |
Last Update Date | 2023-10-26 |