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Organization
MINDFUL NEUROPSYCHOLOGY PROFESSIONAL CORPORATION
Active
Organization
MINDFUL NEUROPSYCHOLOGY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA HAN PSY.D. (PRESIDENT)
(626) 589-6155
Entity
Organization
Contact information
Practice address
9255 TOWNE CENTRE DR STE 875, SAN DIEGO, CA 92121-3064
(858) 888-2668
(858) 455-5556
Mailing address
9255 TOWNE CENTRE DR STE 875, SAN DIEGO, CA 92121-3064
(858) 888-2668
(858) 455-5556
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20782
CA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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