| Tara Nyasio, Psyd A Psychological Corporation | |
|
1633 E 4th St Ste 150 Santa Ana CA 92701-5170 | |
| (657) 267-7521 | |
| Not Available |
| Full Name | Tara Nyasio, Psyd A Psychological Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1633 E 4th St Ste 150, Santa Ana, California |
| Authorized Official Name and Position | Tara Nyasio (PRESIDENT/CEO) |
| Authorized Official Contact | 6572677521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Nyasio, Psyd A Psychological Corporation 1633 E 4th St Ste 150 Santa Ana CA 92701-5170 Ph: (657) 267-7521 | Tara Nyasio, Psyd A Psychological Corporation 1633 E 4th St Ste 150 Santa Ana CA 92701-5170 Ph: (657) 267-7521 |
| NPI Number | 1861057952 |
|---|---|
| Provider Enumeration Date | 05/05/2019 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861057952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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