Individual
DR. LAUREL GRAY COMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10182 INDIANA AVE, TYLER VILLAGE WELLNESS & RECOVERY CLINIC, RIVERSIDE, CA 92503-5304
(951) 509-2400
(951) 509-2405
Mailing address
10182 INDIANA AVE, TYLER VILLAGE WELLNESS & RECOVERY CLINIC, RIVERSIDE, CA 92503-5304
(951) 509-2400
(951) 509-2405
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 14722
CA
Other
Enumeration date
10/10/2006
Last updated
03/23/2012
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