Individual
KATHLEEN ROREM-GODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 655-5614
Mailing address
16911 CONCORD LN, HUNTINGTON BEACH, CA 92649-4203
(714) 655-5614
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
00000000
CA
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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