| 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 |