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Individual
MR. JUSTIN UNDERWOOD
Active
Individual
MR. JUSTIN UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30190
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/03/2013
Last updated
04/21/2019
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