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Ponciano Wellness, Llc
Clinical Psychologist in Los Alamitos, California
NPI 1790077543

Ponciano Wellness, Llc is a Clinical Psychologist based in Los Alamitos, CA and is specialized in Clinical. Ponciano Wellness, Llc practices in Los Alamitos, CA. The NPI Number for Ponciano Wellness, Llc is 1790077543 and holds a License No. PSY15130 (California).

The current practice location address for Ponciano Wellness, Llc is 5212 Katella Ave, Los Alamitos, CA and can be reached out via phone at 888-568-5640 and via fax at 562-493-0922.

Location: 5212 Katella Ave, Los Alamitos, CA, 90720-2828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790077543
Provider Name
Ponciano Wellness, Llc
Credential
Provider Entity Type
Organization
Address
5212 Katella Ave, Los Alamitos, CA, 90720-2828
Phone Number
888-568-5640
Fax Number
562-493-0922
Provider Enumeration Date
05/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1326094442 01 NPPES
institution
Provider Business Practice Location Address Details
Address
5212 Katella Ave
City
Los Alamitos
State
California
Zip
90720-2828
Phone Number
888-568-5640
Fax Number
562-493-0922
person
Provider Business Mailing Address Details
Address
5212 Katella Ave
City
Los Alamitos
State
California
Zip
90720-2828
Phone Number
888-568-5640
Fax Number
562-493-0922
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY15130 (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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