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Individual
DR. TEO ERNST
Active
Individual
DR. TEO ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY21972
CA
103TC0700X
Clinical Psychologist
Primary
PSY21972
CA
103TF0000X
Family Psychologist
PSY21972
CA
103TF0200X
Forensic Psychologist
PSY21972
CA
103TP2701X
Group Psychotherapy Psychologist
PSY21972
CA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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