Individual
ELAINE NEWBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
26501 AVENUE 140, PORTERVILLE, CA 93257-9109
(559) 782-2628
Mailing address
26501 AVENUE 140, PORTERVILLE, CA 93257-9109
(559) 782-2628
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
27668
CA
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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