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Organization
STEVE WYSOCKI, PH.D., PC DBA ALTA LOMA PSYCHOLOGICAL ASSOC
Active
Organization
STEVE WYSOCKI, PH.D., PC DBA ALTA LOMA PSYCHOLOGICAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE R. WYSOCKI PH.D. (CLINICAL PSYCHOLOGIST)
(909) 980-3567
Entity
Organization
Contact information
Practice address
9089 BASELINE RD., #200, RANCHO CUCAMONGA, CA 91730-1295
(909) 980-3567
(909) 989-3932
Mailing address
9089 BASELINE RD., #200, RANCHO CUCAMONGA, CA 91730-1295
(909) 980-3567
(909) 989-3932
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 6143
CA
1041C0700X
Clinical Social Worker
LCS 16794
CA
106H00000X
Marriage & Family Therapist
MFC 28102
CA
Other
Enumeration date
03/15/2007
Last updated
03/04/2009
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