A Psychological Corporation | |
5188 Katella Ave Ste 205 Los Alamitos CA 90720 | |
(562) 493-4655 | |
(562) 493-8897 |
Full Name | A Psychological Corporation |
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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 |
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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 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 06/16/2008 |
Identifier | Type | State | Issuer |
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1841208790 | NPI | - | NPPES |
00PL68960 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY6896 (California) | Primary |
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