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Organization
SYNERGISTIC PSYCHOLOGICAL SERVICES
Active
Organization
SYNERGISTIC PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY GAY CLEARY PSYD (PRESIDENT)
(714) 734-4244
Entity
Organization
Contact information
Practice address
17401 IRVINE BLVD, SUITE J, TUSTIN, CA 92780-3038
(714) 734-4244
(714) 983-2333
Mailing address
17401 IRVINE BLVD, SUITE J, TUSTIN, CA 92780-3038
(714) 734-4244
(714) 983-2333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 24393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FH483A
MEDICARE PTAN
CA
Enumeration date
09/21/2011
Last updated
09/21/2011
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