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Organization
INLAND VALLEY PSYCHOLOGICAL AND ASSESSMENT SERVICES INC.
Active
Organization
INLAND VALLEY PSYCHOLOGICAL AND ASSESSMENT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN MICHELLE CAMARGO RUBLY PSYD (CFO/CEO/SECRETARY/ DIRECTOR)
(951) 422-2941
Entity
Organization
Contact information
Practice address
13051 CENTRAL AVE, CHINO, CA 91710-4124
(951) 422-2941
Mailing address
7056 ARCHIBALD AVE STE 102-249, EASTVALE, CA 92880-8713
(951) 422-2941
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
01/04/2022
Last updated
03/29/2022
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