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Organization
WELLQOR PSYCHOLOGICAL SERVICES OF CALIFORNIA, PC
Active
Organization
WELLQOR PSYCHOLOGICAL SERVICES OF CALIFORNIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND SHALLBETTER PHD (PHD)
(718) 268-6600
Entity
Organization
Contact information
Practice address
25060 HANCOCK AVE STE 103-483, MURRIETA, CA 92562-5930
(844) 888-0355
Mailing address
135 PINELAWN RD STE 204N, MELVILLE, NY 11747-3133
(844) 888-0355
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/09/2016
Last updated
06/08/2020
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