Individual
GENEVIEVE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2931 REDONDO AVE, LONG BEACH, CA 90806-2445
(562) 490-7600
(562) 490-7601
Mailing address
616 HELIOTROPE AVE, CORONA DEL MAR, CA 92625-2219
(949) 533-9307
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY29019
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/07/2007
Last updated
04/17/2018
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