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Organization
REDLANDS PSYCHOLOGICAL SERVICES
Active
Organization
REDLANDS PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN POTTS M.DIV., PHD (OWNER/ PSYCHOLOGIST)
(909) 904-4462
Entity
Organization
Contact information
Practice address
104 E OLIVE AVE STE 100, REDLANDS, CA 92373-5255
(909) 327-2735
(909) 327-2735
Mailing address
104 E OLIVE AVE STE 100, REDLANDS, CA 92373-5255
(909) 327-2735
(909) 327-2735
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 23630
CA
103TP0814X
Psychoanalysis Psychologist
PSY 23630
CA
Other
Enumeration date
11/27/2012
Last updated
03/26/2015
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