| NPI | 1831685197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GARY MCCLURE Psychologist 916-782-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY13572) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |