Image Transformation Institute
NPI #1376572438 in Del Mar, California
Provider Information
- NPI Number
- 1376572438
- Entity Type
- Organization
- Organization Name
- Image Transformation Institute
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jul 1, 2006
- Last Updated
- Jun 27, 2019
Practice Location
- Address
- 1343 STRATFORD CT
- City
- Del Mar
- State
- California
- ZIP Code
- 92014-2327
- Phone
- (626) 429-4945
Authorized Official
- Name
- DR. ROBERT MICHAEL MILLER, PH.D.
- Title
- PRESIDENT
- Phone
- (626) 429-4945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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