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Organization
PSYCHOLOGICAL ASSESSMENT SERVICES
Active
Organization
PSYCHOLOGICAL ASSESSMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMY ZORILLA (MPN COORDINATOR)
(714) 972-0040
Entity
Organization
Contact information
Practice address
2107 N. BROADWAY #207, SANTA ANA, CA 92706
(714) 972-0040
(714) 972-0477
Mailing address
PO BOX 6299, LAGUNA NIGUEL, CA 92607-6200
(714) 972-0040
(714) 972-0477
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12317
CA
Other
Enumeration date
08/08/2007
Last updated
02/09/2012
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