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Southern California Psychological
Specialist in Tustin, California
NPI 1053745497

Southern California Psychological is a Specialist based in Tustin, CA. Southern California Psychological practices in Tustin, CA. The NPI Number for Southern California Psychological is 1053745497 and holds a License No. PSY23488 (California).

The current practice location address for Southern California Psychological is 17821 17Th St Ste 250, Tustin, CA and can be reached out via phone at 714-505-2093 and via fax at 714-573-0072.

Location: 17821 17Th St Ste 250, Tustin, CA, 92780-2173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053745497
Provider Name
Southern California Psychological
Credential
Provider Entity Type
Organization
Address
17821 17Th St Ste 250, Tustin, CA, 92780-2173
Phone Number
714-505-2093
Fax Number
714-573-0072
Provider Enumeration Date
08/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17821 17Th St Ste 250
City
Tustin
State
California
Zip
92780-2173
Phone Number
714-505-2093
Fax Number
714-573-0072
person
Provider Business Mailing Address Details
Address
17821 17Th St Ste 250
City
Tustin
State
California
Zip
92780-2173
Phone Number
714-505-2093
Fax Number
714-573-0072
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PSY23488 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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