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Organization
THE NEW MIND WHOLE PERSON PSYCHOLOGICAL CARE INC
Active
Organization
THE NEW MIND WHOLE PERSON PSYCHOLOGICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS W. WALLSTROM PH.D. (CLINICAL PSYCHOLOGIST)
(909) 603-9300
Entity
Organization
Contact information
Practice address
114 N INDIAN HILL BLVD, SUITE B, CLAREMONT, CA 91711-4675
(909) 603-9300
(909) 603-9301
Mailing address
114 N INDIAN HILL BLVD, SUITE B, CLAREMONT, CA 91711-4675
(909) 603-9300
(909) 603-9301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13058
CA
Other
Enumeration date
12/28/2016
Last updated
03/01/2018
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