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 |