Organization
FOOTHILLS NEUROCARE, A PSYCHOLOGICAL CORPORATION
Active
Organization
FOOTHILLS NEUROCARE, A PSYCHOLOGICAL CORPORATION
Active
Other names
Foothills Neurocare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY M BAYAN PSY.D. (CEO)
(626) 260-5468
Entity
Organization
Contact information
Practice address
1145 S GRAND AVE, GLENDORA, CA 91740-5013
(909) 394-1667
(909) 575-4783
Mailing address
1145 S GRAND AVE, GLENDORA, CA 91740-5013
(909) 394-1667
(909) 575-4783
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
05/06/2024
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