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Individual
THERESA GISELL INCHAURREGUI
Active
Individual
THERESA GISELL INCHAURREGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
Primary
PSY36587
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2018
Last updated
07/01/2026
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