| NPI | 1972650562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY A. HALOTE Psychologist 818-752-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 10111) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 10111) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY 10111) | |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY 10111) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |