NPI | 1841912250 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER MARTENS President 760-470-5731 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103T00000X Psychologist | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TF0200X Psychologist, Forensic | |
103TH0004X Psychologist, Health | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
103TP2701X Psychologist, Group Psychotherapy | |
103TR0400X Psychologist, Rehabilitation | |
Enumeration Date | 2022-09-13 |
Last Update Date | 2025-02-23 |