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Organization
LORI J. MAGNUSSON, PH.D.,APC
Active
Organization
LORI J. MAGNUSSON, PH.D.,APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI MAGNUSSON PH.D. (PRESIDENT)
(760) 634-6643
Entity
Organization
Contact information
Practice address
550 W VISTA WAY STE 105, VISTA, CA 92083-5735
(760) 634-6643
(760) 634-6643
Mailing address
550 W VISTA WAY STE 105, VISTA, CA 92083-5735
(760) 634-6643
(760) 726-2292
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8568
CA
Other
Enumeration date
07/22/2006
Last updated
09/16/2011
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