| NPI | 1972872356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEO CONNOLLY Licensed Psychologist 626-768-1083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 23835) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |