Southern California Psychological
Southern California Psychological is a Specialist in Tustin, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
17821 17th St Ste 250Tustin, CA 92780-2173
Phone: (714) 505-2093
Fax: (714) 573-0072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence PSY23488 (CA) |
|---|
Record details
| NPI number | 1053745497 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberely Tilley — President · (714) 505-2093 |
| NPI enumerated | August 21, 2013 |
| Last updated in NPPES | August 21, 2013 |
| Mailing address | 17821 17th St Ste 250, Tustin, CA 92780-2173 |
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