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Charlotte Modahl, PHD
Clinical Psychologist in Cypress, California
NPI 1205163847

Charlotte Modahl is a Clinical Psychologist based in Newport Beach, CA and is specialized in Clinical. Charlotte Modahl practices in Cypress, CA and has the professional credentials of PHD. The NPI Number for Charlotte Modahl is 1205163847 and holds a License No. PSY10375 (California).

The current practice location address for Charlotte Modahl is 1601 Ball Rd, Cypress, CA and can be reached out via phone at 562-431-8822 and via fax at 562-431-8875.

Location: 1601 Ball Rd, Cypress, CA, 92663-4022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205163847
Provider Name
Charlotte Modahl
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1601 Ball Rd, Cypress, CA, 92663-4022
Phone Number
562-431-8822
Fax Number
562-431-8875
Provider Enumeration Date
11/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP103750 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
1601 Ball Rd
City
Cypress
State
California
Zip
90630
Phone Number
562-431-8822
Fax Number
562-431-8875
person
Provider Business Mailing Address Details
Address
1601 Ball Rd
City
Cypress
State
California
Zip
90630
Phone Number
562-431-8822
Fax Number
562-431-8875
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY10375 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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