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Organization
INLAND PSYCHOLOGICAL PROF.CORP.
Active
Organization
INLAND PSYCHOLOGICAL PROF.CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHRYN IRENA HARRIS PH.D. (SECRETARY)
(909) 596-3577
Entity
Organization
Contact information
Practice address
1407 FOOTHILL BLVD # 61, LA VERNE, CA 91750-3451
(909) 596-3577
(909) 593-6456
Mailing address
12530 10TH ST, SUITE D, CHINO, CA 91710-3520
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1375724
—
CA
Enumeration date
04/23/2007
Last updated
08/22/2020
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