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Organization

LORETTA MEAD PSYCHOLOGY INC

Active
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Organization

LORETTA MEAD PSYCHOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LORETTA MEAD PSYD (PSYCHOLOGIST)
(909) 242-5409
Entity
Organization

Contact information

Practice address
5005 LA MART DR, STE 100-B10, RIVERSIDE, CA 92507-5952
(909) 242-5409
Mailing address
25930 YANEZ TRAIL RD, MORENO VALLEY, CA 92551-2101
(909) 242-5409

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24298
CA

Other

Enumeration date
11/17/2014
Last updated
11/17/2014
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