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Individual

DR. DAMON CHRISTOPHER CORGIAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
8300 UTICA AVE STE 245, RANCHO CUCAMONGA, CA 91730-3852
(909) 989-4055
Mailing address
21766 ALVAREZ, MISSION VIEJO, CA 92691-1234
(801) 808-7435

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9133595-6010
UT
103G00000X
Clinical Neuropsychologist
103TC0700X
Clinical Psychologist
Primary
PSY34178
CA

Other

Enumeration date
04/21/2015
Last updated
08/23/2024
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