| NPI | 1861932816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HUY President 714-936-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 18078) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 18078) |
| 103T00000X Psychologist (Licence: CA 18078) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 18078) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 18078) | |
| 103TF0000X Psychologist, Family (Licence: CA 18078) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 18078) | |
| 103TS0200X Psychologist, School (Licence: CA 18078) | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-04-14 |