Individual
DR. DAVID GEORGE CONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
23441 S POINTE DR STE 180, LAGUNA HILLS, CA 92653-1550
(949) 452-9294
(949) 452-0296
Mailing address
23441 S POINTE DR STE 180, LAGUNA HILLS, CA 92653-1550
(949) 452-9294
(949) 452-0296
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY13161
PSYCHOLOGIST'S LICENSE #
CA
Enumeration date
05/18/2007
Last updated
07/08/2007
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