| Fruitful Therapy, Inc | |
|
112 East Amerige Ave Fullerton CA 92832 | |
| (714) 340-5941 | |
| Not Available |
| Full Name | Fruitful Therapy, Inc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 112 East Amerige Ave, Fullerton, California |
| Authorized Official Name and Position | Janie Lai (PRESIDENT) |
| Authorized Official Contact | 7143405941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fruitful Therapy, Inc 14271 Jeffrey Rd # 296 Irvine CA 92620-3405 Ph: () - | Fruitful Therapy, Inc 112 East Amerige Ave Fullerton CA 92832 Ph: (714) 340-5941 |
| NPI Number | 1386403673 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386403673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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