NPI | 1932505088 |
---|---|
Entity Type | Organization |
Authorized Contact | LORETTA MEAD Psychologist 909-242-5409 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 24298) |
Enumeration Date | 2014-11-17 |
Last Update Date | 2014-11-17 |