Individual
DR. JESSICA ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12777 VALLEY VIEW, SUITE 212, GARDEN GROVE, CA 92845
(562) 315-8114
Mailing address
PO BOX 91614, LONG BEACH, CA 90809
(562) 335-2087
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY22293
CA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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