| NPI | 1770735490 |
|---|---|
| Doing Business As | SOUTH COUNTY PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | PAUL M. FICK Owner/Psychologist 949-916-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 12618) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA PSY 18298) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-10-13 |