| Organization Name: | JODIE KNOTT, PH.D., PSYCHOLOGICAL CONSULTING, INC. |
| NPI Number: | 1063803393 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JODIE KNOTT (LICENSED PSYCHOLOGIST/PRESIDENT) |
| Mailing Address: | 5212 Katella Ave Ste 104 Los Alamitos |
| State: | CA US |
| Postal Code: | 907206829 |
| Phone Number: | 7144903428 |
| Fax Number: | 5624931684 |
| NPI Enumeration Date: | 02/09/2015 |
| NPI Last Update Date: | 02/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PSY20647 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |