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Dr. Dorien Emanuel, PSYD
Student in an Organized Health Care Education/Training Program in Victorville, California
NPI 1306599345

Dorien Emanuel is a Student in an Organized Health Care Education/Training Program based in Victorville, CA. Dorien Emanuel practices in Victorville, CA and has the professional credentials of PSYD. The NPI Number for Dorien Emanuel is 1306599345 and holds a License No. (California).

The current practice location address for Dorien Emanuel is 12423 Antelope Dr, Victorville, CA and can be reached out via phone at 760-403-7397.

Location: 12423 Antelope Dr, Victorville, CA, 92392-7916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306599345
Provider Name
Dorien Emanuel
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
12423 Antelope Dr, Victorville, CA, 92392-7916
Phone Number
760-403-7397
Fax Number
Provider Enumeration Date
01/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12423 Antelope Dr
City
Victorville
State
California
Zip
92392-7916
Phone Number
760-403-7397
Fax Number
person
Provider Business Mailing Address Details
Address
12423 Antelope Dr
City
Victorville
State
California
Zip
92392-7916
Phone Number
760-403-7397
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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