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Organization
PASADENA CLINICAL GROUP, A PSYCHOLOGY CORPORATION
Active
Organization
PASADENA CLINICAL GROUP, A PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENZO ISRAEL PICCIRILLO PSYD (PSYCHOLOGIST)
(626) 354-6440
Entity
Organization
Contact information
Practice address
595 E COLORADO BLVD STE 428, PASADENA, CA 91101-2058
(626) 354-6440
(805) 456-5547
Mailing address
PO BOX 5581, PASADENA, CA 91117-0581
(626) 354-6440
(805) 456-5547
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
05/29/2017
Last updated
07/21/2022
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