Magnolia Psychological Assessment & Therapy Center, Pc | |
12021 Jacaranda Ave Ste 201e Hesperia CA 92345-4978 | |
(760) 454-6817 | |
Not Available |
Full Name | Magnolia Psychological Assessment & Therapy Center, Pc |
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Speciality | Psychologist - Clinical |
Location | 12021 Jacaranda Ave Ste 201e, Hesperia, California |
Authorized Official Name and Position | Rita Ogunlana (OWNER) |
Authorized Official Contact | 7604546817 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Magnolia Psychological Assessment & Therapy Center, Pc 12021 Jacaranda Ave Ste 201e Hesperia CA 92345-4978 Ph: (760) 454-6817 | Magnolia Psychological Assessment & Therapy Center, Pc 12021 Jacaranda Ave Ste 201e Hesperia CA 92345-4978 Ph: (760) 454-6817 |
NPI Number | 1043057177 |
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Provider Enumeration Date | 07/15/2024 |
Last Update Date | 07/15/2024 |
Certification Date | 07/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043057177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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