Individual
JENNIFER CARRIE MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 ELDER AVE, SEAL BEACH, CA 90740-3049
(562) 397-3951
Mailing address
4500 ELDER AVE, SEAL BEACH, CA 90740-3049
(562) 397-3951
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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