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Organization
SIERRA PSYCHOLOGICAL SERVICES
Active
Organization
SIERRA PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MORENO EDD (ADMINISTRATOR)
(909) 758-2175
Entity
Organization
Contact information
Practice address
600 N MOUNTAIN AVE STE C205B, UPLAND, CA 91786-4315
(909) 758-2175
Mailing address
154A W FOOTHILL BLVD # 421, UPLAND, CA 91786-3847
(909) 758-2175
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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