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Individual
DR. LORI J MAGNUSSON
Active
Individual
DR. LORI J MAGNUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8568
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY8568
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY085680
—
CA
Enumeration date
08/31/2006
Last updated
09/16/2011
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