| NPI | 1841706264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA LYNN HUELSENBECK Psychologist 858-353-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY25050) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2023-09-07 |