| NPI | 1982002325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ROBIN LEVY Clinical Psychologist 310-845-6046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |