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Organization

MARK LUM PSYCHOLOGICAL SERVICES

Active
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Organization

MARK LUM PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK STEPHEN LUM PSY.D. (LICENSED PSYCHOLOGIST)
(949) 713-9846
Entity
Organization

Contact information

Practice address
1801 E HEIM AVE, SUITE 204, ORANGE, CA 92865-3020
(714) 282-9713
(714) 282-8016
Mailing address
1801 E HEIM AVE, SUITE 204, ORANGE, CA 92865-3020
(714) 282-9713
(714) 282-8016

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13344
CA

Other

Enumeration date
11/21/2007
Last updated
11/21/2007
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