Organization
FOSS PSYCHOLOGICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA FOSS PHD (PRESIDENT)
(626) 840-5740
Entity
Organization
Contact information
Practice address
448 S MARENGO AVE, PASADENA, CA 91101-3113
(626) 840-5740
Mailing address
1108 W AMERIGE AVE, FULLERTON, CA 92833-2708
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28674
CA
106H00000X
Marriage & Family Therapist
LMFT83193
CA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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