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Organization
KR PSYCHOLOGICAL SERVICES, INC
Active
Organization
KR PSYCHOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA BROSIUS-RODRIGUEZ PSY.D. (CEO)
(714) 812-1916
Entity
Organization
Contact information
Practice address
30011 IVY GLENN DR STE 120, LAGUNA NIGUEL, CA 92677-5041
(714) 812-1916
(949) 305-8286
Mailing address
90 VANTIS DR UNIT 6021, ALISO VIEJO, CA 92656-2547
(714) 812-1916
(949) 305-8286
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20067
CA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
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Other
Enumeration date
10/26/2015
Last updated
04/14/2024
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