| NPI | 1972728921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A. SELZER Owner 858-350-4595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY 17903) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: CA G50175) |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: CA A69151) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 40523) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-09-11 |