Educational Therapy Assessment & Services

NPI 1073819777 - Psychologist - 103TM1800X

NPI Details
NPI 1073819777
Enumeration Date 01/28/2011
Last Updated 01/28/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DOREEN ANN DOREEN
Position DIRECTOR
Phone (909) 795-4255
Fax (909) 795-4438
Practice Location
34590 COUNTY LINE RD
SUITE 7
YUCAIPA CA, 92399-5303, US
Phone (909) 795-4255
Fax (909) 795-4438
Business Location
34590 COUNTY LINE RD
SUITE 7
YUCAIPA CA, 92399-5303, US
Phone (909) 795-4255
Fax (909) 795-4438
Toxanomy
Taxonomy Code 103TM1800X
License State
License Number
Remove 1073819777 NPI Number
 

According to our database, Educational Therapy Assessment & Services NPI is 1073819777, taxonomy code is 103TM1800X Educational Therapy Assessment & Services physically located at 34590 County Line Rd, Yucaipa CA, 92399-5303. NPI Number 1033115704 has the healthcare provider type.

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1073819777 NPI number is provided on an as is basis without warranty of any kind. 1073819777 is maintained by the National Plan & Provider Enumeration System. The contents of Educational Therapy Assessment & Services are for informational purposes only.