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Organization
CHILD AND ADOLESCENT BEHAVIORAL HEALTH CENTER
Active
Organization
CHILD AND ADOLESCENT BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRIS A RICHARDSON PH.D. (PARTNER)
(714) 696-1385
Entity
Organization
Contact information
Practice address
17772 IRVINE BLVD STE 103, TUSTIN, CA 92780
(714) 696-1385
(888) 972-4028
Mailing address
17772 IRVINE BLVD, STE 103, TUSTIN, CA 92780-3256
(714) 696-1385
(888) 972-4028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TF0000X
Family Psychologist
—
NULL
103TF0000X
Family Psychologist
—
—
103TH0100X
Health Service Psychologist
—
NULL
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
07/27/2017
Last updated
09/10/2024
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