Depth Psychotherapy Center a Professional Psychological Corpora
Depth Psychotherapy Center a Professional Psychological Corpora is a Clinical Psychologist in Irvine, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
Practice location Address checks out
4199 Campus Dr Ste 550Irvine, CA 92612
Phone: (949) 422-4488
Fax: (949) 640-2255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence PSY21506 (CA) |
|---|
Record details
| NPI number | 1154638450 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sherri Mahdavi — Owner · (949) 422-4488 |
| NPI enumerated | September 8, 2010 |
| Last updated in NPPES | July 1, 2020 |
| Certification date | July 1, 2020 |
| Mailing address | 750 Terrado Plz, Suite 40, Covina, CA 91723 |
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