Accident Injury And Family Therapy, Inc | |
17821 East 17th St Suite 250 Tustin CA 92780 | |
(714) 505-2093 | |
(714) 573-0072 |
Full Name | Accident Injury And Family Therapy, Inc |
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Speciality | Psychologist - Clinical |
Location | 17821 East 17th St, Tustin, California |
Authorized Official Name and Position | John Franklin Workman (BUSINESS OWNER) |
Authorized Official Contact | 7145052093 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Accident Injury And Family Therapy, Inc Po Box 6646 Orange CA 92863-6646 Ph: (714) 505-2093 | Accident Injury And Family Therapy, Inc 17821 East 17th St Suite 250 Tustin CA 92780 Ph: (714) 505-2093 |
NPI Number | 1477821486 |
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Provider Enumeration Date | 12/05/2011 |
Last Update Date | 12/05/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477821486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | MFT14419 (California) | Primary |
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