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Organization
SURANEE A WALESZONIA PH D A PSYCHOLOGY CORPORATION
Active
Organization
SURANEE A WALESZONIA PH D A PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURANEE A WALESZONIA PHD (OWNER/CLINICAL NEUROPSYCHOLOGIST)
(714) 745-6850
Entity
Organization
Contact information
Practice address
135 S STATE COLLEGE BLVD STE 200, BREA, CA 92821-5805
(714) 745-6850
Mailing address
246 SAINT CRISPEN AVE, BREA, CA 92821-4000
(818) 439-7033
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
06/20/2019
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