| Na | |
|
1191 E Walnut St Suite 102 Pasadena CA 91106-1868 | |
| (626) 384-8361 | |
| (626) 270-4011 |
| Full Name | Na |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1191 E Walnut St, Pasadena, California |
| Authorized Official Name and Position | Donsha D. Robinson-mcclain (CLINICAL PSYCHOLOGIST/CEO) |
| Authorized Official Contact | 6263848361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Na 300 E Bonita Ave Unit 4068 San Dimas CA 91773-6198 Ph: (626) 384-8361 | Na 1191 E Walnut St Suite 102 Pasadena CA 91106-1868 Ph: (626) 384-8361 |
| NPI Number | 1952850711 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952850711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 19692 (California) | Primary |
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