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Organization
MARTIN A PEREZ PHD AND ASSOCIATES A PROFESSIONAL CLINICAL PSYCHOLOGY
Active
Organization
MARTIN A PEREZ PHD AND ASSOCIATES A PROFESSIONAL CLINICAL PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN A. PEREZ PH.D. (CEO/DIRECTOR)
(626) 806-6857
Entity
Organization
Contact information
Practice address
107 S FAIR OAKS AVE, SUITE # 315, PASADENA, CA 91105-2010
(626) 806-6857
(626) 744-0677
Mailing address
107 S FAIR OAKS AVE, SUITE # 315, PASADENA, CA 91105-2010
(626) 806-6857
(626) 744-0677
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851462469
NPI TYPE 1
—
Enumeration date
02/10/2009
Last updated
08/20/2014
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