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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 PHD (CEO, LICENSED PSYCHOLOGIST)
(949) 424-5707
Entity
Organization
Contact information
Practice address
3525 HYLAND AVE STE 205, COSTA MESA, CA 92626-1403
(949) 873-4617
(949) 209-4544
Mailing address
1048 IRVINE AVE # 717, NEWPORT BEACH, CA 92660-4602
(949) 873-4617
(949) 209-4544
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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