Organization
DR. BLIED - FACES OF HEALTH - A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DR. MONICA ELLIS-BLIED PHD (DIRECTOR)
(909) 741-2849
Entity
Organization
Contact information
Practice address
250 W 1ST ST STE 214, CLAREMONT, CA 91711-4743
(909) 741-2849
(909) 992-4101
Mailing address
250 W 1ST ST STE 214, CLAREMONT, CA 91711-4743
(909) 741-2849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TH0004X
Health Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912ROE8
—
CA
Enumeration date
05/20/2021
Last updated
05/20/2021
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