Organization
HARRELL M. REZNICK, PH.D. AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRELL REZNICK (OWNER)
(714) 891-1420
Entity
Organization
Contact information
Practice address
12792 LONGDEN ST, GARDEN GROVE, CA 92845-2627
(714) 891-1420
Mailing address
12792 LONGDEN ST, GARDEN GROVE, CA 92845-2627
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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