| NPI | 1831655273 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SURANEE A WALESZONIA Owner/Clinical Neuropsychologist 714-745-6850  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical | 
| Enumeration Date | 2019-02-11 | 
| Last Update Date | 2019-06-20 |