| Suranee A Waleszonia Ph D A Psychology Corporation | |
|
135 S State College Blvd Ste 200 Brea CA 92821-5805 | |
| (714) 745-6850 | |
| Not Available |
| Full Name | Suranee A Waleszonia Ph D A Psychology Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 135 S State College Blvd Ste 200, Brea, California |
| Authorized Official Name and Position | Suranee A Waleszonia (OWNER/CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 7147456850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suranee A Waleszonia Ph D A Psychology Corporation 246 Saint Crispen Ave Brea CA 92821-4000 Ph: (818) 439-7033 | Suranee A Waleszonia Ph D A Psychology Corporation 135 S State College Blvd Ste 200 Brea CA 92821-5805 Ph: (714) 745-6850 |
| NPI Number | 1831655273 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831655273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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