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Organization
PSYCHOLOGY TASK FORCE CORP
Active
Organization
PSYCHOLOGY TASK FORCE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD DE ANDA PSYD (CEO & PSYCHOLOGIST)
(619) 754-1928
Entity
Organization
Contact information
Practice address
3928 COLEMAN AVE, SAN DIEGO, CA 92154
(619) 754-1928
Mailing address
136 N CHESTER AVE, PASADENA, CA 91106-1805
(619) 754-1928
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
05/26/2023
Last updated
07/09/2024
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