| NPI | 1790213247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENZO ISRAEL PICCIRILLO Psychologist 626-354-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TC0700X Psychologist, Clinical | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2022-07-21 |