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Socal Center For Change
Prescribing (Medical) Psychologist in Orange, California
NPI 1104183292

Socal Center For Change is a Prescribing (Medical) Psychologist based in Orange, CA and is specialized in Prescribing (Medical). Socal Center For Change practices in Orange, CA. The NPI Number for Socal Center For Change is 1104183292 and holds a License No. (California).

The current practice location address for Socal Center For Change is 1110 E Chapman Ave, Orange, CA and can be reached out via phone at 714-453-0688 and via fax at 714-453-0691.

Location: 1110 E Chapman Ave, Orange, CA, 92866-2139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104183292
Provider Name
Socal Center For Change
Credential
Provider Entity Type
Organization
Address
1110 E Chapman Ave, Orange, CA, 92866-2139
Phone Number
714-453-0688
Fax Number
714-453-0691
Provider Enumeration Date
04/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1110 E Chapman Ave
City
Orange
State
California
Zip
92866-2139
Phone Number
714-453-0688
Fax Number
714-453-0691
person
Provider Business Mailing Address Details
Address
1110 E Chapman Ave
City
Orange
State
California
Zip
92866-2139
Phone Number
714-453-0688
Fax Number
714-453-0691
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
()
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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