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Individual

DR. LORIE MUELLENBACH

Active
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Individual

DR. LORIE MUELLENBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY33283
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY33283
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00
00
CA
Enumeration date
05/03/2017
Last updated
12/05/2025
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