NPI | 1912654310 |
---|---|
Doing Business As | SECURE PSYCHOLOGY |
Entity Type | Organization |
Authorized Contact | ELISA FULLER Psychologist 310-295-9528 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2022-03-04 |
Last Update Date | 2022-03-05 |