| 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 |