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Organization
VARIATIONS PSYCHOLOGY PC
Active
Organization
VARIATIONS PSYCHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTA M. SHINN PH.D. (LICENSED PSYCHOLOGIST, PRESIDENT)
(949) 424-5707
Entity
Organization
Contact information
Practice address
4000 MACARTHUR BLVD, EAST TOWER, SUITE 600, NEWPORT BEACH, CA 92660
(949) 424-5707
(949) 209-4544
Mailing address
491 CABRILLO ST, COSTA MESA, CA 92627
(949) 432-1790
(949) 209-4544
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23107
CA
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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