Organization
GRAND TERRACE PSYCHOLOGICAL SERVICES, INC.
Active
Other names
California Behavioral Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD B PFLAUMER PH.D. (OWNER)
(909) 899-6800
Entity
Organization
Contact information
Practice address
721 NEVADA ST STE 203, REDLANDS, CA 92373-8051
(909) 798-5669
(909) 335-9219
Mailing address
POST OFFICE BOX 950, RANCHO CUCAMONGA, CA 91729
(909) 899-6800
(909) 899-6884
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10385
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPS001160
—
CA
01
—
PSY10385
LICENSE NUMBER
CA
Enumeration date
02/24/2007
Last updated
06/12/2012
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