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Individual
DR. DANIEL KURODA ELLEDGE
Active
Individual
DR. DANIEL KURODA ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
38812
TX
103TC0700X
Clinical Psychologist
PSY35268
CA
103TC2200X
Clinical Child & Adolescent Psychologist
38812
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY35268
CA
Other
Enumeration date
08/07/2021
Last updated
09/30/2024
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