NPI 1235280751 · live from the CMS NPI Registry
A Center For Self & Relationship Development, INC.
Psychologist, Clinical in Huntington Beach, CA. National Provider Identifier 1235280751, active.
NPI record
| NPI | 1235280751 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 16052 Beach Blvd, Suite #214, Huntington Beach, CA 92647 |
| Practice phone | 949-218-8800 |
| Enumerated | January 12, 2007 |
| Last updated | August 4, 2011 |
| Authorized official | Eugenia Weiss, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PSY21231 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.