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Individual

DR. JOHN THOMAS HARLOW ENGELHARDT

Active
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Individual

DR. JOHN THOMAS HARLOW ENGELHARDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1390
OR
103TC0700X
Clinical Psychologist
Primary
31436
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1390
LICENSE NUMBER (PSYCHOLOG
OR
01
31436
LICENSE NUMBER
CA
Enumeration date
11/14/2005
Last updated
01/28/2020
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