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Individual

DR. ANGIE SUSANA PELLETIER-JUAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
17401 VINTAGE ST, NORTHRIDGE, CA 91325-1538
(323) 559-2836
Mailing address
17401 VINTAGE ST, NORTHRIDGE, CA 91325-1538
(323) 559-2836

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34099
CA
103T00000X
Psychologist

Other

Enumeration date
09/19/2012
Last updated
03/30/2023
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