Zena Denise Polly PH.D.

NPI 1063632313 - Psychologist - 103TC2200X

NPI Details
NPI 1063632313
Gender Female
Enumeration Date 04/27/2007
Last Updated 01/07/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
111 PACIFICA
SUITE 125
IRVINE CA, 92618-3310, US
Phone (949) 450-8270
Fax (949) 450-8270
Business Location
111 PACIFICA
SUITE 125
IRVINE CA, 92618-7420, US
Phone (949) 450-8270
Fax (949) 450-8270
Toxanomy
Taxonomy Code 103TC2200X
License State California
License Number PSY 10702
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According to our database, Dr. Zena Denise Polly PH.D. NPI is 1063632313, taxonomy code is 103TC2200X and license number is PSY 10702, license state is located at California. Zena Denise Polly PH.D. physically located at 111 Pacifica, Irvine CA, 92618-3310. NPI Number Zena Denise Polly PH.D. has the Individual type.

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1063632313 NPI number is provided on an as is basis without warranty of any kind. 1063632313 is maintained by the National Plan & Provider Enumeration System. The contents of Zena Denise Polly PH.D. are for informational purposes only.