Individual
DR. LAUREL A, BASBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
980 ROOSEVELT, SUITE 240, IRVINE, CA 92620-3670
(949) 922-5450
(714) 368-7500
Mailing address
980 ROOSEVELT, SUITE 240, IRVINE, CA 92620-3670
(949) 922-5450
(714) 368-7500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10549
CA
106H00000X
Marriage & Family Therapist
MFT15095
CA
Other
Enumeration date
08/14/2008
Last updated
02/10/2009
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