Individual
CATHY A CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
119 S THOMPSON ST, HEMET, CA 92543-4350
(951) 652-6320
(951) 652-9355
Mailing address
119 S THOMPSON ST, HEMET, CA 92543-4350
(951) 652-6320
(951) 652-9355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12827
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33BE5W
—
CA
05
—
33BEFW
—
CA
Enumeration date
02/01/2007
Last updated
07/09/2007
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