| NPI | 1841655545 |
|---|---|
| Former Legal Business Name | WELLSPRING PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | RICHARD JOSHUA MADDOX President 408-357-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25909) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2021-10-08 |