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Organization
MICHAEL WESLEY SUMMERLIN PHD EK PSYCH
Active
Organization
MICHAEL WESLEY SUMMERLIN PHD EK PSYCH
Active
Other names
EK Psych
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W SUMMERLIN PH. D (PRESIDENT)
(949) 677-3220
Entity
Organization
Contact information
Practice address
1441 SUPERIOR AVE, STE F, NEWPORT BEACH, CA 92663-2704
(714) 494-1867
Mailing address
1441 SUPERIOR AVE, STE F, NEWPORT BEACH, CA 92663-2704
(714) 494-1867
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28000
CA
103TC0700X
Clinical Psychologist
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Other
Enumeration date
10/01/2012
Last updated
05/30/2024
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