NPI | 1861286098 |
---|---|
Entity Type | Organization |
Authorized Contact | MICKELL LETHCO Owner, Neuropsychologist 925-322-1261 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103G00000X Clinical Neuropsychologist | |
103TF0000X Psychologist, Family | |
103TA0700X Psychologist, Adult Development & Aging | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TP2701X Psychologist, Group Psychotherapy | |
103T00000X Psychologist | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2025-04-04 |
Last Update Date | 2025-10-07 |