| A Psychological Corporation | |
|
5188 Katella Ave Ste 205 Los Alamitos CA 90720 | |
| (562) 493-4655 | |
| (562) 493-8897 |
| Full Name | A Psychological Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5188 Katella Ave, Los Alamitos, California |
| Authorized Official Name and Position | Lawrence Neil Blum (CORPORATION PRESIDENT) |
| Authorized Official Contact | 5624934655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Psychological Corporation 5188 Katella Ave Ste 205 Los Alamitos CA 90720 Ph: (562) 493-4655 | A Psychological Corporation 5188 Katella Ave Ste 205 Los Alamitos CA 90720 Ph: (562) 493-4655 |
| NPI Number | 1841208790 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841208790 | NPI | - | NPPES |
| 00PL68960 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY6896 (California) | Primary |
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