NPI | 1881182905 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER OPPERMANN Provider/President 925-878-5288 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY12395) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2024-10-15 |