Individual
MR. STANLEY E LUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3530 POMONA BLVD, POMONA, CA 91768-3238
(909) 595-1221
Mailing address
1600 9TH ST, SACRAMENTO, CA 95814-6404
(916) 654-2431
(916) 654-3186
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PSY5515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY055150
—
CA
Enumeration date
09/22/2006
Last updated
07/08/2007
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