Jerry George Soucy PH.D.

NPI 1023001054 - Psychologist - 103TC0700X

NPI Details
NPI 1023001054
Gender Male
Enumeration Date 08/24/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
16152 BEACH BLVD
HUNTINGTON BEACH CA, 92647-3806, US
Phone (714) 842-7060
Fax (714) 965-6220
Business Location
16152 BEACH BLVD
HUNTINGTON BEACH CA, 92647-3868, US
Phone (714) 842-7060
Fax (714) 965-6220
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY 10209
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According to our database, Dr. Jerry George Soucy PH.D. NPI is 1023001054, taxonomy code is 103TC0700X and license number is PSY 10209, license state is located at California. Jerry George Soucy PH.D. physically located at 16152 Beach Blvd, Huntington Beach CA, 92647-3806. NPI Number Jerry George Soucy PH.D. has the Individual type.

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1023001054 NPI number is provided on an as is basis without warranty of any kind. 1023001054 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry George Soucy PH.D. are for informational purposes only.