Individual
JAMES VANDERVEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1851 COCKSCROW LN, SANTA ANA, CA 92705-3422
(714) 227-9353
Mailing address
1851 COCKSCROW LN, SANTA ANA, CA 92705-3422
(714) 227-9353
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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