Theresa L O'raidy MA

NPI 1073657664 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1073657664
Gender Female
Enumeration Date 02/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
100 E WARDLOW RD
LONG BEACH CA, 90807-4417, US
Phone (562) 427-6818
Fax
Business Location
23910 LADEENE AVE APT 33
TORRANCE CA, 90505-5765, US
Phone (562) 427-6818
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number IMF 46858
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According to our database, Ms. Theresa L O'raidy MA NPI is 1073657664, taxonomy code is 106H00000X and license number is IMF 46858, license state is located at California. Theresa L O'raidy MA physically located at 100 E Wardlow Rd, Long Beach CA, 90807-4417. NPI Number Theresa L O'raidy MA has the Individual type.

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1073657664 NPI number is provided on an as is basis without warranty of any kind. 1073657664 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa L O'raidy MA are for informational purposes only.