Individual
MICHAEL FEDIDA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 W 5TH ST BLDG 38C, SANTA ANA, CA 92701-4599
(714) 796-0324
Mailing address
405 W 5TH ST BLDG 38C, SANTA ANA, CA 92701-4599
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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